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NPI 1487419644 · live from the CMS NPI Registry

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Clinic/Center, Developmental Disabilities in Kansas City, MO. National Provider Identifier 1487419644, active.

NPI record

NPI1487419644 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Developmental Disabilities 261QD1600X
Practice location2310 E Linwood Blvd, Kansas City, MO 64109
Practice phone816-365-0077
Mailing addressPo Box 140312, Kansas City, MO 64114
EnumeratedFebruary 16, 2024
Last updatedFebruary 16, 2024
Authorized officialBryan Dial, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Voluntary or Charitable251V00000X—
Clinic/Center, Developmental Disabilities primary261QD1600X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.