NPI 1063969103 · live from the CMS NPI Registry
Kelly Anders
Behavior Analyst in Wright City, MO. National Provider Identifier 1063969103, active.
NPI record
| NPI | 1063969103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1000 Moon Valley Ln, Wright City, MO 63390 |
| Practice phone | 314-265-0336 |
| Enumerated | September 7, 2016 |
| Last updated | September 7, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2015015155 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.