St Louis, Mya Nicole

St Louis, Mya Nicole is an individual health care provider with primary practice located at 170 N 15Th St , East Orange NJ 07017-5271. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. St Louis, Mya Nicole can be contacted via phone (862) 576-4968.

Contact Information

Primary practice address
170 N 15Th St East Orange NJ 07017-5271
Phone: (862) 576-4968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1669211173
LBN Legal business name St Louis, Mya Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2024
Last updated May 23rd, 2024 - about 2 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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