Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 2014011748 | MO |
NPI | 1003236977 |
---|---|
Provider Name | Robin Lee Arnall |
First Address | Springfield, MO 65806-2411 |
Second Address | Springfield, MO 65802-2139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 18/04/2014 |