Individual
TRACI BUNTENBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-ABA, BCBA, LBA
Contact information
Practice address
1310 MELISSA CT, KEARNEY, MO 64060-8732
(719) 671-6092
Mailing address
1310 MELISSA CT, KEARNEY, MO 64060-8732
(719) 671-6092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2026009457
MO
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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