Organization
EASTER SEALS MIDWEST
Active
Other names
Judevine Center for Autism
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ARLEDGE (CHIEF FINANCIAL OFFICER)
(314) 394-7020
Entity
Organization
Contact information
Practice address
11933 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3203
(314) 394-7100
(314) 394-4007
Mailing address
11933 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3203
(314) 394-7100
(314) 394-4007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2205030351
MO
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
001967
MO
104100000X
Social Worker
1999140934
MO
224Z00000X
Occupational Therapy Assistant
2010005293
MO
225X00000X
Occupational Therapist
2001015378
MO
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
118073
MO
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852794502
—
MO
Enumeration date
03/09/2007
Last updated
12/05/2025
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