| NPI | 1306256532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY EVANS Owner 316-201-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS LP1921) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2018-09-06 |