IndividualActive
Amber Short
NPI 1962221457 · Behavior Technician · Kennett, MO
Provider details
- NPI number
- 1962221457
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1109 Jones St
Kennett, MO 63857-3824
Phone: (573) 888-5925
Approximate (ZIP-level) locationGet directions
Mailing address
1109 Jones St
Kennett, MO 63857-3824
Registry dates
- Enumerated
- 2024-10-10
- Last updated
- 2024-10-10
- Certified
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.