Individual
KATHRYNE LIBBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
375 S WILLOW ST STE 266, MANCHESTER, NH 03103-5729
(877) 315-8080
Mailing address
2055 CRAIGSHIRE RD STE 390, SAINT LOUIS, MO 63146-4028
(314) 275-0506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB277184
IL
Other
Enumeration date
08/01/2020
Last updated
08/08/2022
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