Individual
JESSICA DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
126 W SARAH AVE, SAINT LOUIS, MO 63122-2646
(314) 252-2069
Mailing address
126 W SARAH AVE, SAINT LOUIS, MO 63122-2646
(314) 252-2069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-16-7213
IL
103K00000X
Behavior Analyst
Primary
1-16-23743
IL
Other
Enumeration date
07/08/2016
Last updated
11/10/2016
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