Individual
JENNIFER ASHLEY POTTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
5819 LOCUST ST, KANSAS CITY, MO 64110-3041
(816) 560-2070
Mailing address
5819 LOCUST ST, KANSAS CITY, MO 64110-3041
(816) 560-2070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084035
MO
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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