Most Relevant Information
Provider Data
| NPI Number: | 1003654096 |
| Provider Name: | COURTNEY POE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-357328 |
Most Important Dates
| Enumeration Date: | 07/16/2024 |
| Last Updated: | 07/16/2024 |
Provider Practice Location
3048 S CLIFTON AVE STE 112
SPRINGFIELD
MO
658076045
Practice Location Phone/Fax
| Phone: | 5738185784 |
| Fax: |
Provider Mailing Location
3048 S CLIFTON AVE STE 112
SPRINGFIELD
MO
658076045
Provider Mailing Phone/Fax
| Phone: | 5738185784 |
| Fax: |