NPI 1558821447

Christina Bourbon, MEDPLBA

Practitioner Assistant Behavior Analyst Saint Louis, MO

Practice location

Address: 11140 S Towne Sq STE 100, Saint Louis, MO 63123-7830
Phone: (314) 845-3900
Fax: (314) 845-3901

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 2019006849 (MO)

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Registry record

NPI: 1558821447
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2019
Record last updated: 25 Mar 2019

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.