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Individual

KATY STREETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
17331 S WALTER ST, GARDNER, KS 66030-9162
(913) 271-5152
Mailing address
17331 S WALTER ST, GARDNER, KS 66030-9162
(913) 271-5152

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12148559
KS

Other

Enumeration date
04/08/2021
Last updated
04/08/2021
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