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Individual

MRS. AMBER SUZANNE CRIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4721 S. CLIFF. AVE., INDEPENDENCE, MO 64055
(816) 608-1500
Mailing address
4721 S. CLIFF. AVE., INDEPENDENCE, MO 64055
(816) 608-1500

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA1-20-45035
MO
106S00000X
Behavior Technician
RBT-15-08410
KS

Other

Enumeration date
01/16/2019
Last updated
08/25/2021
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