Individual
KATHLEEN BAUER KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7674 PLUMMER BUSINESS DR, TROY, IL 62294-7604
(314) 275-0506
Mailing address
2055 CRAIGSHIRE RD STE 230, SAINT LOUIS, MO 63146-4012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-259713
IL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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