Individual
NICOLE BUENEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
918 BERNADETTE DR, COLUMBIA, MO 65203-5007
(573) 447-8318
(573) 874-3777
Mailing address
918 BERNADETTE DR, COLUMBIA, MO 65203-5007
(573) 447-8318
(573) 874-3777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014025303
MO
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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