Individual
KAYLA HARTSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
649 RIVERVIEW DR, PEVELY, MO 63070-2940
(636) 208-3548
Mailing address
649 RIVERVIEW DR, PEVELY, MO 63070-2940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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