Individual
JENNIFER C COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9510 PAGE AVE, SAINT LOUIS, MO 63132-1524
(314) 736-5502
Mailing address
1035 SHADOWOAK DR, BALLWIN, MO 63021-6546
(314) 736-5502
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017042980
MO
Other
Enumeration date
01/05/2018
Last updated
03/17/2018
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