Individual
JESSICA PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
1587 NE RICE RD, LEE'S SUMMIT, MO 64086
(816) 966-0900
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2016003800
MO
Other
Enumeration date
02/12/2016
Last updated
12/14/2021
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