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Individual

CODY CHARLES MEEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
1508 NW VIVION RD, KANSAS CITY, MO 64118-4557
(636) 893-7207
Mailing address
1412 GRANDVIEW DR, WARRENSBURG, MO 64093-9529
(660) 909-4225

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021047877
MO
106S00000X
Behavior Technician

Other

Enumeration date
07/24/2020
Last updated
12/06/2021
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