Individual
KATIE HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 MID RIVERS MALL DR, COTTLEVILLE, MO 63376-2820
(636) 229-3370
Mailing address
4525 MID RIVERS MALL DR, COTTLEVILLE, MO 63376-2820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/27/2021
Last updated
11/09/2021
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