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NPI Code Detail

MEDICARE: ITEARA MAE CHRISTIAN

MEDICARE:   ITEARA MAE CHRISTIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154271880
Entity Type Code : Individual
Provider Name (Legal Business Name) : ITEARA MAE CHRISTIAN
Provider Business Mailing Address
First Line : 512 E 6TH ST
Second Line :
City : HERMANN
State : MO
Zip : 65041-1323
Country : US
Telephone Number : 636-649-9929
Fax Number :
Provider Business Practice Location Address
First Line : 214 FERREL ST
Second Line :
City : PLATTE CITY
State : MO
Zip : 64079-9511
Country : US
Telephone Number : 816-469-5162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ ITEARA MAE CHRISTIAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.