Organization
CREATING CONNECTIONS THERAPY LLC
Active
Parent organization
CREATING CONNECTIONS THERAPY LLC
Other names
Creating Connections Therapy ABA Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATING CONNECTIONS THERAPY LLC
Authorized official
MARY PATRY BCBA (CLINICAL DIRECTOR)
(913) 735-3393
Entity
Organization
Contact information
Practice address
9100 MISSION RD, PRAIRIE VILLAGE, KS 66206-1714
(913) 735-3393
(913) 828-6898
Mailing address
3965 W 83RD ST # 157, PRAIRIE VILLAGE, KS 66208-5308
(913) 735-3393
(913) 828-6898
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821571728
ADDITIONAL GROUP NPI NUMBER
—
Enumeration date
04/25/2019
Last updated
04/25/2019
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