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Individual

AMBER N LESSOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
2203 NE SHADY LANE DR, GLADSTONE, MO 64118-5027
(816) 853-0946
Mailing address
2203 NE SHADY LANE DR, GLADSTONE, MO 64118-5027
(816) 590-2316

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376870865
SUMMIT BEHAVIORAL SERVICES
MO
Enumeration date
07/09/2013
Last updated
04/03/2017
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