Individual
MIKAYLA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 FORUM BLVD., SUITE E, COLUMBIA, MO 65203
(573) 514-8735
Mailing address
7500 SAN FELIPE STREET, SUITE 990, HOUSTON, TX 77063
(832) 742-0001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
03/06/2023
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