Individual
CHALENE AMBER BASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(785) 248-3668
Mailing address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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