Individual
MRS. JENNIFER RUTH BOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
(816) 984-8280
(816) 984-8281
Mailing address
1002 E 23RD AVENUE, NORTH KANSAS CITY, MO 64116
(816) 835-0262
(816) 984-8281
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014028750
MO
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/08/2013
Last updated
01/20/2023
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