Individual
SOPHIA PEARL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
909 E REPUBLIC RD STE B200, SPRINGFIELD, MO 65807-6016
(417) 200-2322
Mailing address
1770 N FARM ROAD 197, SPRINGFIELD, MO 65802-9291
(417) 207-0439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024001450
MO
Other
Enumeration date
12/19/2023
Last updated
01/17/2024
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