Individual
KAYLIE ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
9374 OLIVE BLVD, 101, OLIVETTE, MO 63132-3253
(314) 932-2402
Mailing address
1434 BLUEBIRD TER, BRENTWOOD, MO 63144-1101
(216) 394-9799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
12/19/2016
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