Archer, Anita

Archer, Anita is an individual health care provider with primary practice located at 420 Grand Ave , Joplin MO 64801-2027. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Archer, Anita can be contacted via phone (417) 680-0777.

Contact Information

Primary practice address
420 Grand Ave Joplin MO 64801-2027
Phone: (417) 680-0777
Fax: (417) 313-0754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2020012497 Missouri

Profile Details

NPI number 1053686535
LBN Legal business name Archer, Anita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2012
Last updated May 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053686535 NPPES
Missouri MEDICAID 730083175

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