Maxville, Dale Allen
Maxville, Dale Allen is an sole proprietor health care provider with primary practice located at 2743 Russell Blvd , Saint Louis MO 63104-2137. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Maxville, Dale Allen can be contacted via phone (573) 864-9743.Contact Information
Primary practice address
2743 Russell Blvd
Saint Louis MO 63104-2137
Phone: (573) 864-9743
Fax: (573) 874-1723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Missouri |
Profile Details
| NPI number | 1336209311 |
|---|---|
| LBN Legal business name | Maxville, Dale Allen |
| Credentials | PHD BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jun 21st, 2011 - about 13 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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