Individual
MS. SMILE JUNALILZ BALURAN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 501-5138
Mailing address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 501-5138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019013854
MO
103K00000X
Behavior Analyst
220
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019013854
STATE LICENSE
MO
Enumeration date
05/14/2019
Last updated
05/14/2019
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