Individual
MRS. KATIE MICHELLE KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
321 COPPER TREE CT, O FALLON, MO 63368-6339
(636) 265-0407
Mailing address
9348 KINGSMOUNT DR APT B, SAINT LOUIS, MO 63123-4195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013029021
MO
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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