| Owl Therapy Services Llc | |
|
4051 Jeffco Blvd Ste 3 Arnold MO 63010-4261 | |
| (636) 223-0070 | |
| (636) 323-2042 |
| Full Name | Owl Therapy Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4051 Jeffco Blvd Ste 3, Arnold, Missouri |
| Authorized Official Name and Position | Elise Marie Bagley (OWNER) |
| Authorized Official Contact | 6362246224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owl Therapy Services Llc 447 Thurwell St Herculaneum MO 63048-1131 Ph: (636) 232-1016 | Owl Therapy Services Llc 4051 Jeffco Blvd Ste 3 Arnold MO 63010-4261 Ph: (636) 223-0070 |
| NPI Number | 1942815360 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 05/06/2023 |
| Certification Date | 05/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942815360 | NPI | - | NPPES |
| 730087100 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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