Individual
STACEY E JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1006 TALL TIMBER DR, WENTZVILLE, MO 63385-2149
(314) 803-0461
Mailing address
1006 TALL TIMBER DR, WENTZVILLE, MO 63385-2149
(314) 803-0461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2018041217
MO
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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