Individual
ISAAC NZUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACB
Contact information
Practice address
338 BROADWAY ST STE 504, CAPE GIRARDEAU, MO 63701-7331
(618) 697-1132
Mailing address
338 BROADWAY ST STE 504, CAPE GIRARDEAU, MO 63701-7331
(618) 697-1132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017000673
MO
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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