| NPI | 1235775248 |
|---|---|
| Doing Business As | MISSOURI MENTOR |
| Entity Type | Organization |
| Authorized Contact | MORGAN KEENCE Bcba 314-991-7944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |