Individual
DR. MARY RACHEL ENOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1209 E WALNUT ST, COLUMBIA, MO 65201-4944
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000655
VA
103K00000X
Behavior Analyst
Primary
2024014466
MO
Other
Enumeration date
12/16/2015
Last updated
11/25/2024
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