Individual
STACEY POLLNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1508 NW VIVION RD, KANSAS CITY, MO 64118-4557
(800) 200-2119
Mailing address
PO BOX 66726, SAINT LOUIS, MO 63166-6726
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021015497
MO
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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