Individual
EMILY ROSE ECHELBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22600 RAPHAEL LN, WAYNESVILLE, MO 65583-2760
(816) 469-5162
Mailing address
22600 RAPHAEL LN, WAYNESVILLE, MO 65583-2760
(816) 469-5162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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