Individual
LISA KAYE GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BCBA, LBA
Contact information
Practice address
1810 CRAIG RD, SAINT LOUIS, MO 63146-4760
(314) 414-0226
(888) 507-4453
Mailing address
1810 CRAIG RD, SAINT LOUIS, MO 63146-4760
(314) 414-0226
(888) 507-4453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014024480
MO
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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