NPI 1760015762 · live from the CMS NPI Registry
Bryant Antoine
Behavior Analyst in Hazelwood, MO. National Provider Identifier 1760015762, active.
NPI record
| NPI | 1760015762 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 900 Hornet Dr, Hazelwood, MO 63042 |
| Practice phone | 314-432-6200 |
| Enumerated | February 18, 2020 |
| Last updated | February 18, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2020000899 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.