Ciara Anderson

Individual provider Active NPI Behavior Technician · Poplar Bluff, MO

NPI 1487301263 · NPPES record last updated Mar 2, 2022

Key facts

NPI
1487301263
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3001 Warrior LN
Poplar Bluff, MO 63901-8685
Phone
(573) 686-1200
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3001 Warrior LN
Poplar Bluff, MO 63901-8685

Mailing address

3001 Warrior LN
Poplar Bluff, MO 63901-8685
Phone (573) 686-1200

Other providers in Poplar Bluff, MO

All providers in Poplar Bluff, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.