Organization
TRUMAN STATE UNIVERSITY
Active
Other names
Greenwood Interprofessional Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARYELLEN KOCH JENSEN BCBA, LBA (DIRECTOR)
(660) 341-1105
Entity
Organization
Contact information
Practice address
606 S HALLIBURTON ST, KIRKSVILLE, MO 63501-3712
(660) 785-7551
(660) 785-7632
Mailing address
606 S HALLIBURTON ST, KIRKSVILLE, MO 63501-3712
(660) 785-7551
(660) 785-7632
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/09/2009
Last updated
03/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us