Individual
ALEXANDRA LAUREN DIVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
KS
Other
Enumeration date
08/19/2021
Last updated
01/24/2025
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