Individual
JAMIE ESTELLA DEVILLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10176 CORPORATE SQUARE DR, SUITE 150, SAINT LOUIS, MO 63132-2924
(314) 605-7743
Mailing address
10176 CORPORATE SQUARE DR, SUITE 150, SAINT LOUIS, MO 63132-2924
(314) 605-7743
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013031452
MO
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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