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NPI Code Detail

MEDICARE: CHRISTINA POELKER BCBA/LBA

MEDICARE: CHRISTINA POELKER 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 Analyst

General Provider Information

NPI Number : 1710428412
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA POELKER BCBA/LBA
Provider Business Mailing Address
First Line : 7777 BONHOMME AVE STE 1800
Second Line :
City : CLAYTON
State : MO
Zip : 63105-1931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7777 BONHOMME AVE STE 1800
Second Line :
City : CLAYTON
State : MO
Zip : 63105-1931
Country : US
Telephone Number : 314-795-1427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2017
Last Update Date : 08/08/2023

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Directions to “ CHRISTINA POELKER BCBA/LBA” Practice Location

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