Individual
ALYCIA PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1263 NE 500, KNOB NOSTER, MO 65336-2343
(660) 233-1530
Mailing address
1263 NE 500, KNOB NOSTER, MO 65336-2343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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