Unearth Potential, LLC
Behavior Analyst in Joplin, MO. Organization (NPI-2).
NPI number1982202883
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1982202883
- Entity type
- Organization (NPI-2)
- Legal business name
- Unearth Potential, LLC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2020
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1907 S Moffet AveJoplin, MO 64804-1851
Phone 417-396-1214
Mailing address
1907 S Moffet AveJoplin, MO 64804-1851
Phone 417-396-1214
Authorized official
Erin Marie Phipps
Board Certified Behavior Analyst
4173961214
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