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1003681198
KEVIN MBOMA
OLATHE, KS
NPI
1003681198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-23-311070)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
KEVIN MBOMA
1337 S FOUNTAIN DR
OLATHE, KS 66061-7205
Phone number: 913-379-1656
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Mailing Address
KEVIN MBOMA
4721 S CLIFF AVE STE 103
INDEPENDENCE, MO 64055-6969
Phone number: 816-608-1956
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