Individual
ANDREA COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 W ELFINDALE ST, SPRINGFIELD, MO 65807-1295
(417) 874-1906
(417) 771-3723
Mailing address
1721 W ELFINDALE ST, SPRINGFIELD, MO 65807-1295
(417) 874-1906
(417) 771-3723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024050338
MO
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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