| Core Therapy & Diagnostics, Llc | |
|
186 S Payne Stewart Dr Ste 151 Branson MO 65616-2792 | |
| (417) 391-3065 | |
| Not Available |
| Full Name | Core Therapy & Diagnostics, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 186 S Payne Stewart Dr Ste 151, Branson, Missouri |
| Authorized Official Name and Position | Courtney Deronde (MANAGER) |
| Authorized Official Contact | 4173193065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Therapy & Diagnostics, Llc 186 S Payne Stewart Dr Ste 151 Branson MO 65616-2792 Ph: () - | Core Therapy & Diagnostics, Llc 186 S Payne Stewart Dr Ste 151 Branson MO 65616-2792 Ph: (417) 391-3065 |
| NPI Number | 1316559594 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 10/06/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316559594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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