BETHANY LAKE

KANSAS CITY, MO
NPI1669032074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: MO  1-19-36283)
Enumeration Date2019-06-18
Last Update Date2019-06-18
Business Address
Mrs. BETHANY LAKE
248 NE BARRY RD
KANSAS CITY, MO 64155-2722
Phone number: 816-368-8120
Mailing Address
Mrs. BETHANY LAKE
8405 NE 97TH TER
KANSAS CITY, MO 64157-7609
Phone number: 816-898-9893