Charles Mooneyham

NPI #1972086940 in Saint Peters, Missouri

Provider Information

NPI Number: 1972086940
Entity Type: Individual
Name: Charles Mooneyham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 14, 2018
Last Updated: Sep 4, 2019

Practice Location

Address: 94 HOLLISTER CT
City: Saint Peters
State: Missouri
ZIP Code: 63376
Phone: (314) 305-0041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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