Individual
REHAB ALSADEQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 853-0946
Mailing address
16201 WEDD ST, OVERLAND PARK, KS 66085-7857
(913) 306-4974
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2018035806
MO
103K00000X
Behavior Analyst
208
KS
Other
Enumeration date
03/13/2019
Last updated
03/10/2025
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