Individual
ELIZABETH GRACE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19201 E VALLEY VIEW PKWY STE H, INDEPENDENCE, MO 64055-6913
(816) 474-3995
Mailing address
5100 NOLAND RD, KANSAS CITY, MO 64133-2610
(313) 888-0112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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