MEDICARE: TOI ESTERS

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
1	103K00000X	Behavior Analyst	2022028339	MO

General Provider Information

NPI Number	:	1295510774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOI ESTERS

Provider Business Mailing Address
First Line	:	2035 WASHINGTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2035 WASHINGTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1607
Country	:	US
Telephone Number	:	314-243-6917
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	08/31/2023

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Directions to “ TOI ESTERS ” Practice Location

Language	Start Address	Practice Location

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