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Individual provider Active NPI Behavior Technician · Wichita, KS

NPI 1639767973 · NPPES record last updated Jan 4, 2021

Key facts

NPI
1639767973
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8700 E 29TH St N
Wichita, KS 67226-2169
Phone
(316) 634-8710
Fax
(316) 634-8891
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8700 E 29TH St N
Wichita, KS 67226-2169

Mailing address

8700 E 29TH St N
Wichita, KS 67226-2169
Phone (316) 634-8710

Other providers in Wichita, KS

All providers in Wichita, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.