Individual
MRS. ELIZABETH MARIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4721 S. CLIFF. AVE, SUITE 103, INDEPENDENCE, MO 64055
(816) 368-8120
(800) 687-5070
Mailing address
4721 S. CLIFF. AVE, SUITE 103, INDEPENDENCE, MO 64055
(816) 368-8120
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-78188975
MO
106S00000X
Behavior Technician
20-110886
MO
Other
Enumeration date
06/11/2020
Last updated
11/17/2020
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