Individual
JACQUELINE AMALIA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7050 W 107TH ST STE 110, OVERLAND PARK, KS 66212-1829
(913) 802-2227
Mailing address
14519 BEVERLY ST, OVERLAND PARK, KS 66223-2682
(913) 526-1701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122258
KS
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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