Individual
MIKE MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
11140 S TOWNE SQ STE 100, SAINT LOUIS, MO 63123-7830
(314) 845-3900
(314) 845-3901
Mailing address
11140 S TOWNE SQ STE 100, SAINT LOUIS, MO 63123-7830
(314) 845-3900
(314) 845-3901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1869956
MO
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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