| Fw4c | |
|
1468 E 77th Street Kansas City MO 64131 | |
| (816) 922-9081 | |
| Not Available |
| Full Name | Fw4c |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1468 E 77th Street, Kansas City, Missouri |
| Authorized Official Name and Position | Aleisha J Frazier (DIRECTOR) |
| Authorized Official Contact | 8169229081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fw4c 4134 Prospect Ave Kansas City MO 64130-1323 Ph: (816) 922-9081 | Fw4c 1468 E 77th Street Kansas City MO 64131 Ph: (816) 922-9081 |
| NPI Number | 1043692775 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043692775 | NPI | - | NPPES |
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