Individual
SHAMIKA PEGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10502 N AMBASSADOR DR STE 201, KANSAS CITY, MO 64153-1291
(816) 608-1951
(800) 687-5070
Mailing address
4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 64055-6969
(816) 608-1958
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019039929
MO
Other
Enumeration date
04/24/2019
Last updated
04/10/2024
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