Individual
MRS. STACY R KLUSMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
2809 VALLEY CREEK RD, CAPE GIRARDEAU, MO 63701-8938
(573) 450-0076
Mailing address
2809 VALLEY CREEK RD, CAPE GIRARDEAU, MO 63701-8938
(573) 450-0076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37351
MO
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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