Organization
OWL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE MARIE BAGLEY BCABA (OWNER)
(636) 224-6224
Entity
Organization
Contact information
Practice address
4051 JEFFCO BLVD STE 3, ARNOLD, MO 63010-4261
(636) 223-0070
(636) 323-2042
Mailing address
447 THURWELL ST, HERCULANEUM, MO 63048-1131
(636) 232-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730087100
—
MO
Enumeration date
09/11/2020
Last updated
05/06/2023
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