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Individual

EMILY KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2620 FORUM BLVD STE E, COLUMBIA, MO 65203-5454
(417) 501-4161
(417) 627-5330
Mailing address
2620 FORUM BLVD STE E, COLUMBIA, MO 65203-5454
(417) 501-4161
(417) 627-5330

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63214
TX
106S00000X
Behavior Technician

Other

Enumeration date
10/21/2021
Last updated
12/28/2022
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