Individual
LYDIA D ROBERSON
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
208 WESTGATE CIR, WARRENSBURG, MO 64093-9314
(478) 258-2381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023039076
MO
Other
Enumeration date
02/16/2021
Last updated
10/18/2023
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