JUAN VIDAL

LEAVENWORTH, KS
NPI1518664143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: KS  23-257924)
Enumeration Date2023-02-14
Last Update Date2023-02-14
Business Address
JUAN VIDAL
1719 METROPOLITAN AVE
LEAVENWORTH, KS 66048-1124
Phone number: 913-250-5634
Mailing Address
JUAN VIDAL
5863 NW 72ND ST
KANSAS CITY, MO 64151-1483
Phone number: 816-984-8280
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