Individual
STACY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
108 BUCKNER TARSNEY RD, GRAIN VALLEY, MO 64029-8398
(816) 265-1170
Mailing address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-62568
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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