Kansas Behavior Supports | |
971 E Wichita Ave Russell KS 67665-2444 | |
(785) 657-7464 | |
(785) 445-4042 |
Full Name | Kansas Behavior Supports |
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Speciality | Behavior Analyst |
Location | 971 E Wichita Ave, Russell, Kansas |
Authorized Official Name and Position | Holly Creamer (MEMBER) |
Authorized Official Contact | 7856577464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kansas Behavior Supports 971 E Wichita Ave Russell KS 67665-2444 Ph: (785) 657-7464 | Kansas Behavior Supports 971 E Wichita Ave Russell KS 67665-2444 Ph: (785) 657-7464 |
NPI Number | 1336785922 |
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Provider Enumeration Date | 11/19/2019 |
Last Update Date | 01/02/2024 |
Certification Date | 01/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336785922 | NPI | - | NPPES |
1457820086 | Other | KS | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Still Waters Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 N Main St, Suite B, Russell, KS 67665 Phone: 785-445-4155 Fax: 785-445-3886 |