Individual
MANDY GAIL CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Mailing address
925 STATE HWY V V, KENNETT, MO 63857-0071
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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