Emily Jeannette Booth
Behavior Technician in Moscow Mills, MO. Individual provider (NPI-1).
NPI number1639744741
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1639744741
- Entity type
- Individual (NPI-1)
- Name
- Emily Jeannette Booth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2021
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
81 Willow Springs DrMoscow Mills, MO 63362-2491
Phone 163-629-5144
Mailing address
81 Willow Springs DrMoscow Mills, MO 63362-2491
Phone 163-629-5144
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