| Still Water Aba, Llc | |
|
9701 Jefferson Rd Mascoutah IL 62258-4203 | |
| (618) 975-6737 | |
| Not Available |
| Full Name | Still Water Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9701 Jefferson Rd, Mascoutah, Illinois |
| Authorized Official Name and Position | Thomas Anthony Scolarici (OWNER BCBA) |
| Authorized Official Contact | 6189756737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Water Aba, Llc 9701 Jefferson Rd Mascoutah IL 62258-4203 Ph: (618) 975-6737 | Still Water Aba, Llc 9701 Jefferson Rd Mascoutah IL 62258-4203 Ph: (618) 975-6737 |
| NPI Number | 1598491953 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598491953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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