Individual
MR. KYLE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
205 PORTLAND ST., COLUMBIA, MO 65211
(573) 884-6052
Mailing address
2802 TERRY LN, COLUMBIA, MO 65201-3633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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