NPI 1003674342

Ronniqua Cannon

Practitioner Behavior Technician Saint Louis, MO

Practice location

Address: 3555 Sunset Office Dr, Saint Louis, MO 63127-1015
Phone: (314) 377-5968
Mailing address: 5207 Lakewood Ter APT 205, Imperial, MO 63052-4044

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-318947 (MO)

Other Behavior Technician providers in Missouri →

Registry record

NPI: 1003674342
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2024
Record last updated: 11 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.