Individual
JENNA R DIMETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 S PICHER AVE, JOPLIN, MO 64804-1645
(417) 347-7850
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
09/08/2025
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