| Willow Aba Services Llc Kansas | |
|
9142 W 135th St # Sr Overland Park KS 66221-2044 | |
| (720) 319-7614 | |
| (720) 319-7614 |
| Full Name | Willow Aba Services Llc Kansas |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9142 W 135th St # Sr, Overland Park, Kansas |
| Authorized Official Name and Position | Tanner Sierks (OWNER) |
| Authorized Official Contact | 9133753626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Aba Services Llc Kansas 9142 W 135th St Overland Park KS 66221-2044 Ph: (720) 319-7614 | Willow Aba Services Llc Kansas 9142 W 135th St # Sr Overland Park KS 66221-2044 Ph: (720) 319-7614 |
| NPI Number | 1881228666 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 07/03/2020 |
| Certification Date | 07/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881228666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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