Individual
LAURA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 W ELFINDALE ST, SPRINGFIELD, MO 65807-1287
(417) 864-7921
Mailing address
1501 E PYTHIAN ST, SPRINGFIELD, MO 65802-2139
(417) 864-7921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014033311
MO
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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