Individual
AUSTIN JAMES, ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 E GALLUP HILL RD, NIXA, MO 65714-8864
(833) 624-6385
Mailing address
705 E GALLUP HILL RD, NIXA, MO 65714-8864
(833) 624-6385
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14936
MO
106S00000X
Behavior Technician
RBT-22-232276
MO
Other
Enumeration date
09/06/2022
Last updated
04/21/2026
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