Individual
LAUREL GIACONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8130 BALSON AVE, SAINT LOUIS, MO 63130-3607
(314) 200-5731
Mailing address
65 S LACLEDE STATION RD, WEBSTER GROVES, MO 63119-4282
(504) 390-7520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53857
MO
Other
Enumeration date
07/21/2020
Last updated
11/10/2021
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