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NPI Code Detail

MEDICARE: ZENIA ANN ROBERTS BCBA, LBA

MEDICARE: ZENIA ANN ROBERTS BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst2019042092MO

General Provider Information

NPI Number : 1184268963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZENIA ANN ROBERTS BCBA, LBA
Provider Business Mailing Address
First Line : 16629 WILD HORSE CREEK RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63005-1627
Country : US
Telephone Number : 636-777-8101
Fax Number : 636-777-8104
Provider Business Practice Location Address
First Line : 16629 WILD HORSE CREEK RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63005-1627
Country : US
Telephone Number : 636-777-8101
Fax Number : 636-777-8104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2019
Last Update Date : 06/25/2024

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