Individual
ZACHARY KNESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
7522 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 532-0544
(573) 874-1723
Mailing address
4451 LITTLE CHIEF DR, SAINT LOUIS, MO 63123-6639
(314) 482-3025
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022044865
MO
106S00000X
Behavior Technician
RBT-21-157472
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2021
Last updated
05/09/2024
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