Tangala Krous Valid NPI
Individual provider · Behavior Analyst · O Fallon, MO
- NPI
- 1083973234
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 2012001900 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-05-09
- Last updated
- 2012-05-09
Practice location
321 Copper Tree Ct
O Fallon, MO 63368-6339
(636) 265-0407