| Thrivergent Behavioral Services, Llc | |
|
3831 Frederick Ave # 212 Saint Joseph MO 64506-3020 | |
| (816) 888-6226 | |
| Not Available |
| Full Name | Thrivergent Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3831 Frederick Ave # 212, Saint Joseph, Missouri |
| Authorized Official Name and Position | Gloria Burton (OWNER) |
| Authorized Official Contact | 8168886226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrivergent Behavioral Services, Llc 3831 Frederick Ave # 212 Saint Joseph MO 64506-3020 Ph: (816) 888-6226 | Thrivergent Behavioral Services, Llc 3831 Frederick Ave # 212 Saint Joseph MO 64506-3020 Ph: (816) 888-6226 |
| NPI Number | 1063135085 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063135085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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