Individual
MS. TARA C. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
929 SW LOULA DR, LEES SUMMIT, MO 64081-2451
(816) 729-4892
Mailing address
929 SW LOULA DR, LEES SUMMIT, MO 64081-2451
(816) 729-4892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011024629
MO
Other
Enumeration date
09/07/2011
Last updated
12/31/2021
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