Individual
MR. JOSHUA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 S GLENSTONE AVE, SPRINGFIELD, MO 65804-0313
(417) 831-0617
(417) 869-4156
Mailing address
118 N 2ND ST, SAINT CHARLES, MO 63301-2832
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2016043596
MO
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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