Individual
TAYLOR MARIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
513 N HARPER ST, MONTGOMERY CITY, MO 63361-1721
(636) 359-8183
Mailing address
513 N HARPER ST, MONTGOMERY CITY, MO 63361-1721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021029720
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/14/2020
Last updated
05/30/2023
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