Individual
REA STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2000
Mailing address
8735 DUNRAVEN ST, LENEXA, KS 66227-7204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-200227
KS
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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