Healthcare Provider Details

I. General information

NPI: 1053889618
Provider Name (Legal Business Name): BEHAVIOR CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2018
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9890 CLAYTON RD STE 100
SAINT LOUIS MO
63124-1685
US

IV. Provider business mailing address

9890 CLAYTON RD STE 100
SAINT LOUIS MO
63124-1685
US

V. Phone/Fax

Practice location:
  • Phone: 314-956-4805
  • Fax:
Mailing address:
  • Phone: 314-956-4805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: NATALIA GIUFFRA
Title or Position: ORGANIZER
Credential:
Phone: 314-956-4805