Individual
LAUREN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(214) 326-9284
Mailing address
625 S 4TH ST, COLUMBIA, MO 65201-4280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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