Individual
MRS. ALEXANDRIA WILBURN COSTLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130-2870
(816) 886-4052
Mailing address
4400 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130-2870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
2025054164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90-0747294
CHITTER CHATTER
MI
Enumeration date
11/03/2017
Last updated
01/15/2026
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