Christina Souvannarath

NPI #1679150023 in Clayton, Missouri

Provider Information

NPI Number: 1679150023
Entity Type: Individual
Name: Christina Souvannarath
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 24, 2021
Last Updated: Jul 8, 2021

Practice Location

Address: 7777 BONHOMME AVE
City: Clayton
State: Missouri
ZIP Code: 63105-1911
Phone: (636) 202-0693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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