Individual
KELLY ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MOON VALLEY LN, WRIGHT CITY, MO 63390-2114
(314) 265-0336
Mailing address
1000 MOON VALLEY LN, WRIGHT CITY, MO 63390-2114
(314) 265-0336
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2015015155
MO
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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