Individual
CASSY MARIA STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 SE 771ST RD, LEETON, MO 64761-8158
(816) 469-5612
Mailing address
1104 SE 771ST RD, LEETON, MO 64761-8158
(660) 864-5184
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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