Individual
BROOKE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Mailing address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-335966
MO
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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