Organization
WELLHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CORMIER PHD, BCBA, LBA (CLINIC DIRECTOR)
(314) 925-7525
Entity
Organization
Contact information
Practice address
6113 RIDGE AVE, SAINT LOUIS, MO 63133-2616
(314) 925-7525
(314) 658-9374
Mailing address
716 FRANCIS PL, SAINT LOUIS, MO 63105-2462
(314) 632-6206
(314) 658-9374
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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