Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 103K00000X | Behavior Analyst | 2011009132 | MO |
NPI | 1013140037 |
---|---|
Provider Name | Laura M Barnes |
First Address | Columbia, MO 65201-4226 |
Second Address | Columbia, MO 65201-4226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2009 |
Last Update Date | 26/04/2021 |