Most Relevant Information
Provider Data
| NPI Number: | 1003589664 |
| Provider Name: | EMILY WILTSCH |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 2021013942 |
Most Important Dates
| Enumeration Date: | 07/29/2021 |
| Last Updated: | 07/29/2021 |
Provider Practice Location
12110 CLAYTON RD
SAINT LOUIS
MO
631312516
Practice Location Phone/Fax
| Phone: | 3149898150 |
| Fax: |
Provider Mailing Location
12110 CLAYTON RD
SAINT LOUIS
MO
631312516
Provider Mailing Phone/Fax
| Phone: | 3149898150 |
| Fax: |