| Bledsoe Professional Services | |
|
1506 Anthony St Columbia MO 65201-5806 | |
| (573) 499-1362 | |
| (573) 499-1362 |
| Full Name | Bledsoe Professional Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1506 Anthony St, Columbia, Missouri |
| Authorized Official Name and Position | Michelle C Bledsoe (BEHAVIOR ANALYST/OWNER) |
| Authorized Official Contact | 5734991362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bledsoe Professional Services 1506 Anthony St Columbia MO 65201-5806 Ph: (573) 499-1362 | Bledsoe Professional Services 1506 Anthony St Columbia MO 65201-5806 Ph: (573) 499-1362 |
| NPI Number | 1205290145 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205290145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 2013009323 (Missouri) | Primary |
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