Individual
MS. LATISA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7510 DELMAR BLVD, SAINT LOUIS, MO 63130-3946
(314) 410-9670
Mailing address
406 CHAPARRALL CREEK DR, HAZELWOOD, MO 63042-3977
(318) 503-5704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023006199
MO
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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