Individual
MS. ANITA ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 GRAND AVE, JOPLIN, MO 64801-2027
(417) 680-0777
(417) 313-0754
Mailing address
PO BOX 426, JOPLIN, MO 64802-0426
(417) 680-0777
(417) 313-0754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2020012497
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730083175
—
MO
Enumeration date
03/15/2012
Last updated
05/12/2021
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