| Early Childhood Autism Services Llc | |
|
12423 Donahoo Rd Kansas City KS 66109-3140 | |
| (785) 425-8091 | |
| Not Available |
| Full Name | Early Childhood Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12423 Donahoo Rd, Kansas City, Kansas |
| Authorized Official Name and Position | Brenna Schlaegel Woodruff (OWNER) |
| Authorized Official Contact | 7854258091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Childhood Autism Services Llc Po Box 93 Basehor KS 66007-0093 Ph: (785) 425-8091 | Early Childhood Autism Services Llc 12423 Donahoo Rd Kansas City KS 66109-3140 Ph: (785) 425-8091 |
| NPI Number | 1417699455 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417699455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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