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1215789201
MICAH SELF
KANSAS CITY, KS
NPI
1215789201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KS RBT-24-338416)
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
MICAH SELF
3020 S 7TH ST
KANSAS CITY, KS 66103-2602
Phone number: 913-258-5322
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Mailing Address
MICAH SELF
3965 W 83RD ST STE 157
PRAIRIE VILLAGE, KS 66208-5308
Phone number: 913-258-5322
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