Dale Allen Maxville in Saint Louis - Behavior Analyst
Dale Allen Maxville - NPI 1336209311
Dale Allen Maxville is a Behavior Analyst in Saint Louis, Missouri. Dale Allen Maxville practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Dale Allen Maxville is 1336209311. The last update date is 2011-06-21.
Dale Allen Maxville's current location address is 2743 Russell Blvd, Saint Louis, Missouri. You can contact this provider via phone number 5738649743 and fax number 5738741723. The mailing address for Dale Allen Maxville is 2743 Russell Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Allen Maxville |
|---|---|
| Address | 2743 Russell Blvd, Saint Louis, Missouri |
| Phone Number | 5738649743 |
| Fax Number | 5738741723 |
| Sole Proprietor | Y |
| Credentials | PHD BCBA-D |
NPI Number Detail
| NPI Number | 1336209311 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2011-06-21 |
Provider Mailing Address Detail
| Address | 2743 Russell Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631042137 |
| Phone Number | 5738649743 |
| Fax Number | 5738741723 |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
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Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
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What is the unique identifier code issued to Dale Allen Maxville by the Centers for Medicare & Medicaid Services (CMS)?
The Dale Allen Maxville has been assigned the NPI (National Provider Identifier) 1336209311. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dale Allen Maxville located?
The Dale Allen Maxville is located at 2743 Russell Blvd, Saint Louis, MO 631042137.
What is Dale Allen Maxville's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dale Allen Maxville is Behavior Analyst, and the taxonomy classification code that categorizes this area of expertise is 103K00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336209311 to Dale Allen Maxville?
The Centers for Medicare & Medicaid Services originally issued the 1336209311 to Dale Allen Maxville on 2006-12-11.
As of what date were the Dale Allen Maxville's details last updated?
The information pertaining to the Dale Allen Maxville, including its address, specialty, and other details, was most recently updated on 2011-06-21.
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