Individual
BROOKE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2412 S. 7 HWY, BLUE SPRINGS, MO 64014
(816) 368-8120
(800) 687-5070
Mailing address
2412 S. 7 HWY, BLUE SPRINGS, MO 64014
(816) 368-8120
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-134210
MO
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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