# TRUMAN STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenwood Interprofessional Autism Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578890869
- **Authorized official:** MARYELLEN KOCH JENSEN BCBA, LBA (DIRECTOR)
- **Authorized official phone:** (660) 341-1105

## Contact information

- **Practice address:** 606 S HALLIBURTON ST, KIRKSVILLE, MO 63501-3712
- **Practice address phone:** (660) 785-7551
- **Practice address fax:** (660) 785-7632
- **Mailing address:** 606 S HALLIBURTON ST, KIRKSVILLE, MO 63501-3712
- **Mailing address phone:** (660) 785-7551
- **Mailing address fax:** (660) 785-7632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/09/2009
- **Last updated:** 03/26/2026