Provider Demographics
NPI:1730899477
Name:LAFEBER, ALLISON (PLBA)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:LAFEBER
Suffix:
Gender:F
Credentials:PLBA
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:MOEHRLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1445 WILLOW BROOK CV APT 4
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4966
Mailing Address - Country:US
Mailing Address - Phone:314-630-5889
Mailing Address - Fax:
Practice Address - Street 1:8130 BALSON AVE
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-3607
Practice Address - Country:US
Practice Address - Phone:314-410-9670
Practice Address - Fax:855-611-8213
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022044563103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst