Individual
LARISSA JANE MULHERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
(636) 733-3332
Mailing address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
(636) 733-3332
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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