Individual
MELISSA BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 HOLLISTER CT, SAINT PETERS, MO 63376
(314) 287-1825
(314) 338-4159
Mailing address
94 HOLLISTER CT, SAINT PETERS, MO 63376-7837
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
09/04/2019
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