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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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