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Individual
MRS. THERESA AILEEN STROTHKAMP
Active
Individual
MRS. THERESA AILEEN STROTHKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11211754
MO
222Q00000X
Developmental Therapist
11211754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11211754
LICENSE
MO
Enumeration date
04/18/2013
Last updated
04/18/2013
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