Individual
MISS JODY L KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
14733 CLAYTON RD, BALLWIN, MO 63011-2660
(314) 339-7732
Mailing address
1690 TROTTER WAY, FLORISSANT, MO 63033-2531
(636) 697-7437
(314) 845-3901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019003795
MO
106S00000X
Behavior Technician
RBT-15-08251
MO
Other
Enumeration date
03/20/2017
Last updated
04/09/2021
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