Individual
WAYLON REID MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 HAINES, LIBERTY, MO 64068-1006
(816) 429-5039
Mailing address
120 SW GARDEN ST, GRAIN VALLEY, MO 64029-9548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-460285
MO
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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