Individual
ALEXIS ROSE PETRILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
11971 WESTLINE INDUSTRIAL DR STE 103, SAINT LOUIS, MO 63146-3231
(636) 733-3330
(636) 733-3332
Mailing address
11971 WESTLINE INDUSTRIAL DR STE 103, SAINT LOUIS, MO 63146-3231
(636) 733-3330
(636) 733-3332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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