Organization
BEHAVIOR INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN SALLS BCBA, LBA (OWNER/DIRECTOR)
(314) 609-5483
Entity
Organization
Contact information
Practice address
2644 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2412
(314) 395-9375
(314) 395-9381
Mailing address
2644 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2412
(314) 395-9375
(314) 395-9381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/04/2006
Last updated
05/03/2017
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