Bourbon, Christina
Bourbon, Christina is an individual health care provider with primary practice located at 11140 S Towne Sq Ste 100 , Saint Louis MO 63123-7830. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Bourbon, Christina can be contacted via phone (314) 845-3900.Contact Information
Primary practice address
11140 S Towne Sq Ste 100
Saint Louis MO 63123-7830
Phone: (314) 845-3900
Fax: (314) 845-3901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 2019006849 | Missouri |
Profile Details
| NPI number | 1558821447 |
|---|---|
| LBN Legal business name | Bourbon, Christina |
| Credentials | M.ED, PLBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2019 |
| Last updated | Mar 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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