Individual
KAYLEIGH ELIZABETH FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
918 BERNADETTE DR, COLUMBIA, MO 65203-5007
(573) 874-3777
(573) 874-3880
Mailing address
918 BERNADETTE DR, COLUMBIA, MO 65203-5007
(573) 874-3777
(573) 874-3880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2018040926
MO
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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