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Organization
SEASONS PEDIATRIC DEVELOPMENT CTR - COLUMBIA LLC
Active
Organization
SEASONS PEDIATRIC DEVELOPMENT CTR - COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MCCLARY (MANAGER)
(573) 303-5138
Entity
Organization
Contact information
Practice address
3400 W BROADWAY BUSINESS PARK CT STE 106, COLUMBIA, MO 65203-0331
(573) 303-5138
Mailing address
2011 CORONA RD STE 301, COLUMBIA, MO 65203-2548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
261Q00000X
Clinic/Center
Primary
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
09/21/2026
Last updated
09/21/2026
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