Individual
JAIME RACHELLE MORTIMER BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, RBT
Contact information
Practice address
1300 LOCUST ST STE C, HARRISONVILLE, MO 64701-1366
(417) 448-9766
(816) 265-1828
Mailing address
7217 RAYTOWN RD, RAYTOWN, MO 64133-6648
(816) 863-9964
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-16-15377
MO
225X00000X
Occupational Therapist
Primary
2020006444
MO
Other
Enumeration date
01/12/2018
Last updated
05/08/2020
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