| Elephant Foot Aba, Llc | |
|
3807 Terrace St Apt 3s Kansas City MO 64111-4732 | |
| (816) 806-1930 | |
| Not Available |
| Full Name | Elephant Foot Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3807 Terrace St Apt 3s, Kansas City, Missouri |
| Authorized Official Name and Position | Jacob Schieber (OWNER) |
| Authorized Official Contact | 8168061930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elephant Foot Aba, Llc 3807 Terrace St Apt 3s Kansas City MO 64111-4732 Ph: () - | Elephant Foot Aba, Llc 3807 Terrace St Apt 3s Kansas City MO 64111-4732 Ph: (816) 806-1930 |
| NPI Number | 1467855452 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467855452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 2011008960 (Missouri) | Primary |
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