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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLE SAGAR MED, BCBA, LBA (OWNER)
(913) 617-0492
Entity
Organization

Contact information

Practice address
13414 W 56TH TER, SHAWNEE, KS 66216-4630
(913) 617-0492
(913) 300-9675
Mailing address
13414 W 56TH TER, SHAWNEE, KS 66216-4630
(913) 617-0492
(913) 300-9675

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/14/2020
Last updated
10/05/2022
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