Organization
MORNING STAR BEHAVIORAL ASSOCIATES LLC
Active
Other names
Morning Star Bx Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSEY MICHELLE RADCLIFFE QIDP, DDP (PARTNER)
(618) 697-1132
Entity
Organization
Contact information
Practice address
219 QUAIL CRK, JACKSON, MO 63755-3810
(618) 697-1132
Mailing address
219 QUAIL CRK, JACKSON, MO 63755-3810
(618) 697-1132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013009325
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
05/05/2014
Last updated
08/29/2014
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