Flake, Lisa Ann

Flake, Lisa Ann is an individual health care provider with primary practice located at 4444 Forest Park Ave Ste 2600, Saint Louis MO 63108-2212. 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. Flake, Lisa Ann can be contacted via phone (314) 286-1700.

Contact Information

Primary practice address
4444 Forest Park Ave Ste 2600 Saint Louis MO 63108-2212
Phone: (314) 286-1700
Fax: (314) 286-1777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 2018008240 Missouri

Profile Details

NPI number 1255849048
LBN Legal business name Flake, Lisa Ann
Credentials ABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2018
Last updated Apr 25th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255849048 NPPES
Missouri MEDICAID 730052046

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