| Key Autism Services Mo, LLC | |
|
100 Chesterfield Business Pkwy Fl 2 Chesterfield MO 63005-1271 | |
| (857) 829-4040 | |
| Not Available |
| Full Name | Key Autism Services Mo, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Chesterfield Business Pkwy Fl 2, Chesterfield, Missouri |
| Authorized Official Name and Position | Mark Harper (CEO) |
| Authorized Official Contact | 8578294040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Autism Services Mo, LLC 106 Apple St Ste 221 Tinton Falls NJ 07724-2670 | Key Autism Services Mo, LLC 100 Chesterfield Business Pkwy Fl 2 Chesterfield MO 63005-1271 Ph: (857) 829-4040 |
| NPI Number | 1619680535 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619680535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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