Individual
MRS. MARSHA RENA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, IBA, LBA
Contact information
Practice address
1414 N 150TH TER, BASEHOR, KS 66007-9713
(785) 340-5895
Mailing address
1414 N 150TH TER, BASEHOR, KS 66007-9713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-43422
KS
103K00000X
Behavior Analyst
Primary
1-20-43422
MO
Other
Enumeration date
01/05/2018
Last updated
11/07/2025
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