Greenwood Interprofessional Autism Center | |
606 S Halliburton St Kirksville MO 63501-3712 | |
(660) 785-7551 | |
(660) 785-7632 |
Full Name | Greenwood Interprofessional Autism Center |
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Speciality | Behavior Analyst |
Location | 606 S Halliburton St, Kirksville, Missouri |
Authorized Official Name and Position | Maryellen Koch Jensen (DIRECTOR) |
Authorized Official Contact | 6603411105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greenwood Interprofessional Autism Center 606 S Halliburton St Kirksville MO 63501-3712 Ph: (660) 785-7551 | Greenwood Interprofessional Autism Center 606 S Halliburton St Kirksville MO 63501-3712 Ph: (660) 785-7551 |
NPI Number | 1578890869 |
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Provider Enumeration Date | 11/09/2009 |
Last Update Date | 11/06/2024 |
Certification Date | 11/06/2024 |
Identifier | Type | State | Issuer |
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1578890869 | NPI | - | NPPES |
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