| Infinite Abilities Llc | |
|
1119 E Rushwood Dr Derby KS 67037-3460 | |
| (229) 251-7930 | |
| Not Available |
| Full Name | Infinite Abilities Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1119 E Rushwood Dr, Derby, Kansas |
| Authorized Official Name and Position | Ashley R Michaels (OWNER/ BCBA) |
| Authorized Official Contact | 2292517930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Abilities Llc 1119 E Rushwood Dr Derby KS 67037-3460 Ph: (229) 251-7930 | Infinite Abilities Llc 1119 E Rushwood Dr Derby KS 67037-3460 Ph: (229) 251-7930 |
| NPI Number | 1164264404 |
|---|---|
| Provider Enumeration Date | 06/08/2024 |
| Last Update Date | 06/08/2024 |
| Certification Date | 06/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164264404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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