Healthcare Provider Details

I. General information

NPI: 1952955643
Provider Name (Legal Business Name): WRIGHT WAY BEHAVIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 08/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5356 VERNON AVE
SAINT LOUIS MO
63112-3312
US

IV. Provider business mailing address

PO BOX 5247
SAINT LOUIS MO
63115-0247
US

V. Phone/Fax

Practice location:
  • Phone: 314-368-9829
  • Fax:
Mailing address:
  • Phone: 314-368-9829
  • 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: MRS. WENDY M WRIGHT-BELL
Title or Position: PRESIDENT
Credential: MS, BCBA, LBA
Phone: 314-368-9829