Organization
UNEARTH POTENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN MARIE PHIPPS BCBA, LBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(417) 396-1214
Entity
Organization
Contact information
Practice address
1907 S MOFFET AVE, JOPLIN, MO 64804-1851
(417) 396-1214
Mailing address
1907 S MOFFET AVE, JOPLIN, MO 64804-1851
(417) 396-1214
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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