Individual
EDYTH SPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 S PICHER AVE, JOPLIN, MO 64804-1645
(417) 347-7850
(417) 347-7259
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7850
(417) 347-7259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013044241
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/01/2011
Last updated
12/27/2018
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