Most Relevant Information
Provider Data
| NPI Number: | 1003444068 |
| Provider Name: | SAVANNA COOK BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 2020007796 |
Most Important Dates
| Enumeration Date: | 03/27/2020 |
| Last Updated: | 03/27/2020 |
Provider Practice Location
9129 ARLINE AVE
OVERLAND
MO
631144849
Practice Location Phone/Fax
| Phone: | 8165820400 |
| Fax: |
Provider Mailing Location
9129 ARLINE AVE
OVERLAND
MO
631144849
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |