Individual
MARI KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2620 FORUM BLVD STE E, COLUMBIA, MO 65203-5454
(816) 474-3995
Mailing address
2620 FORUM BLVD STE E, COLUMBIA, MO 65203-5454
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-21-170664
MO
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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