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Individual

RHETT DIEFENDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7911 METCALF AVE, OVERLAND PARK, KS 66204-3836
(913) 257-5185
(833) 340-7117
Mailing address
9153 W 133RD ST, OVERLAND PARK, KS 66213-4333
(913) 257-5185
(833) 340-7117

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-460753

Other

Enumeration date
08/07/2025
Last updated
08/07/2025
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