Individual
MRS. AMBER L TROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 SW FOXTAIL DR, GRAIN VALLEY, MO 64029-9111
(816) 305-6633
Mailing address
912 SW FOXTAIL DR, GRAIN VALLEY, MO 64029-9111
(816) 305-6633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51373
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-21-51373
—
MO
05
—
103K00000X
—
MO
Enumeration date
07/12/2021
Last updated
07/12/2021
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