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Individual provider · Behavior Technician · Manhattan, KS

NPI
1821816620
Type
Individual (Type 1)
Primary specialty
Behavior Technician
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
106S00000X
Sex
Male
Sole proprietor
No
Enumerated
2024-09-30
Last updated
2024-09-30
Practice location
9912 Lavender Ln
Manhattan, KS 66502-1531
(785) 370-6460

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