Individual
MRS. CORTNEY LYNN PROFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3023 PATRIOT DR, CAPE GIRARDEAU, MO 63701-2683
(573) 270-9412
Mailing address
3023 PATRIOT DR, CAPE GIRARDEAU, MO 63701-2683
(573) 270-9412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013034213
MO
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/26/2009
Last updated
04/03/2024
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