Individual
KATHLEEN SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., BCBA, LBA
Contact information
Practice address
222 DOVER ST, JEFFERSON CITY, MO 65109-4926
(573) 619-3002
Mailing address
222 DOVER ST, JEFFERSON CITY, MO 65109-4926
(573) 619-3002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2016003801
MO
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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