Organization
KINCARE BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILENE A GROSS BEHAVIOR ANALYST (CLINICAL DIRECTOR)
(832) 439-1896
Entity
Organization
Contact information
Practice address
4866 W 135TH ST, LEAWOOD, KS 66224-8715
(913) 820-2106
(913) 815-4127
Mailing address
4866 W 135TH ST, LEAWOOD, KS 66224-8715
(913) 820-2106
(913) 815-4127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
140
KS
251B00000X
Case Management Agency
Primary
140
KS
Other
Enumeration date
01/19/2018
Last updated
10/23/2020
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