Individual
BREANNA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1000 SUNNYSIDE AVE, LAWRENCE, KS 66045-1905
(785) 864-3498
Mailing address
7725 W 87TH ST, OVERLAND PARK, KS 66212-1905
(913) 649-3838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00622
KS
106S00000X
Behavior Technician
0-21-13306
KS
Other
Enumeration date
02/11/2022
Last updated
02/13/2025
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