Individual
KRISTINA KOWALEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 SE OAK RIDGE DR APT A, OAK GROVE, MO 64075-9291
(816) 730-5872
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7391
—
MO
Enumeration date
09/06/2022
Last updated
09/06/2022
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