Individual
TRISHIA DAWN ANTROBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6316 HIGHWAY JJ, SULLIVAN, MO 63080-4094
(217) 320-1089
Mailing address
6316 HIGHWAY JJ, SULLIVAN, MO 63080-4094
(217) 320-1089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022013799
MO
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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