Individual
MS. KIMBERLY MONEE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 BONHOMME AVE, CLAYTON, MO 63105-1911
(636) 202-0693
(855) 566-2494
Mailing address
7777 BONHOMME AVE, CLAYTON, MO 63105-1911
(636) 202-0693
(855) 566-2494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-205565
MO
106S00000X
Behavior Technician
BACB753611
MO
Other
Enumeration date
05/11/2022
Last updated
05/16/2022
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