Individual
JAMIE M SEVERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
3000 ALSUP DR, COLUMBIA, MO 65203-0802
(573) 825-0233
Mailing address
PO BOX 30822, COLUMBIA, MO 65205-3822
(573) 825-0233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4515
—
Other
Enumeration date
01/16/2009
Last updated
04/10/2013
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