Individual
MR. HENRY OZERIGBE AGBONPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 E WALNUT ST STE C-210, COLUMBIA, MO 65201-4944
(855) 832-6727
(772) 675-9100
Mailing address
842 S CRUTCHER AVE APT 1, SPRINGFIELD, MO 65802-6034
(772) 349-6317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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