Individual
MILISSA A. UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12430 TESSON FERRY RD # 102, SAINT LOUIS, MO 63128-2702
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5248
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018534800
—
FL
Enumeration date
01/17/2011
Last updated
02/20/2026
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