Individual
HANNAH BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
614 E ADAMS ST, JACKSON, MO 63755-2150
(573) 243-9501
Mailing address
982 ASPEN DR, JACKSON, MO 63755-1095
(573) 450-4084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12475081
MO
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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