Individual
AUSTIN KALEL LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
12760 W 87TH STREET PKWY, LENEXA, KS 66215-4635
(816) 668-8977
Mailing address
12760 W 87TH STREET PKWY, LENEXA, KS 66215-4635
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-176282
KS
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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