Ervin, Thea Rae
Ervin, Thea Rae is an individual health care provider with primary practice located at 12400 Olive Blvd Ste 340 , Creve Coeur MO 63141-5456. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ervin, Thea Rae can be contacted via phone (314) 750-0068.Contact Information
Primary practice address
12400 Olive Blvd Ste 340
Creve Coeur MO 63141-5456
Phone: (314) 750-0068
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2016003795 | Missouri |
Profile Details
NPI number | 1932560513 |
---|---|
LBN Legal business name | Ervin, Thea Rae |
Credentials | M.S. ABA, BCBA, LBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2016 |
Last updated | Mar 10th, 2016 - about 8 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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