Krista K Bates

NPI #1093355547 in Kennett, Missouri

Provider Information

NPI Number: 1093355547
Entity Type: Individual
Name: Krista K Bates
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 875 STATE ROUTE VV
City: Kennett
State: Missouri
ZIP Code: 63857-9108
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Behavior Technician	106S00000X	Primary

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