Exceptional Learners Behavioral Services | |
18687 W 165th St Olathe KS 66062 | |
(720) 331-1419 | |
Not Available |
Full Name | Exceptional Learners Behavioral Services |
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Speciality | Behavior Analyst |
Location | 18687 W 165th St, Olathe, Kansas |
Authorized Official Name and Position | Hillary Marie Masters (BCBA) |
Authorized Official Contact | 7203311419 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Exceptional Learners Behavioral Services Po Box 3476 Olathe KS 66063-3476 Ph: (720) 331-1419 | Exceptional Learners Behavioral Services 18687 W 165th St Olathe KS 66062 Ph: (720) 331-1419 |
NPI Number | 1366817793 |
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Provider Enumeration Date | 12/10/2015 |
Last Update Date | 12/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366817793 | NPI | - | NPPES |
201113520A | Medicaid | KS | |
1104140284 | Other | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-08-4710 (Colorado) | Primary |
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