MS. Thea Rae Ervin, M.S. ABA, BCBA, LBA

NPI #1932560513 in Creve Coeur, Missouri

Provider Information

NPI Number: 1932560513
Entity Type: Individual
Name: MS. Thea Rae Ervin, M.S. ABA, BCBA, LBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: M.S. ABA, BCBA, LBA
Enumeration Date: Mar 10, 2016
Last Updated: Mar 10, 2016

Practice Location

Address: 12400 OLIVE BLVD STE 340
City: Creve Coeur
State: Missouri
ZIP Code: 63141-5456
Phone: (314) 750-0068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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