Individual
KAILEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 265-1170
Mailing address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 265-1170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023037222
MO
Other
Enumeration date
06/03/2021
Last updated
09/21/2023
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