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Individual

DIANA IADEVITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 491-8173
(816) 491-8173
Mailing address
18120 N PEACH BLOSSOM DR, PLATTE CITY, MO 64079-4527
(816) 262-6676

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
00745
KS
103K00000X
Behavior Analyst
Primary
2024044160
MO

Other

Enumeration date
10/03/2024
Last updated
02/03/2025
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