Individual
MRS. KAYLA LEE KACZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1740 S GLENSTONE AVE, SUITE S, SPRINGFIELD, MO 65804-1511
(417) 890-1399
(417) 890-1775
Mailing address
1740 S GLENSTONE AVE, SUITE S, SPRINGFIELD, MO 65804-1511
(417) 890-1399
(417) 890-1775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2014003096
MO
103K00000X
Behavior Analyst
Primary
2015015158
MO
Other
Enumeration date
02/03/2014
Last updated
05/26/2015
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