Individual
HEATHER NICOLE BRACKEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
145 SE 1171, KNOB NOSTER, MO 65336-2177
(660) 624-0695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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