Individual
AVERY LYNN TORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1 VILLAGE SQ STE 7, HAZELWOOD, MO 63042-1817
(314) 200-5457
Mailing address
1 VILLAGE SQ STE 7, HAZELWOOD, MO 63042-1817
(314) 200-5457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72542
MO
Other
Enumeration date
02/28/2022
Last updated
06/14/2024
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