Most Relevant Information
Provider Data
| NPI Number: | 1003432972 |
| Provider Name: | STACY R KLUSMEIER MA, BCBA, LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-19-37351 |
Most Important Dates
| Enumeration Date: | 06/17/2020 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
2809 VALLEY CREEK RD
CAPE GIRARDEAU
MO
637018938
Practice Location Phone/Fax
| Phone: | 5734500076 |
| Fax: |
Provider Mailing Location
2809 VALLEY CREEK RD
CAPE GIRARDEAU
MO
637018938
Provider Mailing Phone/Fax
| Phone: | 5734500076 |
| Fax: |