NPI 1104417765

Aaya Khalil Qondah

Practitioner Behavior Analyst Olivette, MO

Practice location

Address: 1320 Baur Blvd, Olivette, Mo 63132, Olivette, MO 63132-6307
Phone: (314) 528-9509
Mailing address: 10975 Ridgecrest Dr, Saint Ann, MO 63074-3439

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence B160288001 (MO)

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Registry record

NPI: 1104417765
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2021
Record last updated: 27 Jan 2021

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.