Individual
PAULA ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9426 PFLUMM RD, LENEXA, KS 66215-3308
(913) 608-7005
(866) 308-0972
Mailing address
9426 PFLUMM RD, LENEXA, KS 66215-3308
(913) 608-7005
(866) 308-0972
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA-00405
KS
106S00000X
Behavior Technician
RBT-17-36410
KS
Other
Enumeration date
07/06/2017
Last updated
01/07/2025
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