Individual
JANINE KESTERSON-CRAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, BCBA-D
Contact information
Practice address
1445 N ROCK RD STE 130, WICHITA, KS 67206-1287
(316) 847-9824
Mailing address
1445 N ROCK RD STE 130, WICHITA, KS 67206-1287
(316) 847-9824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
028
KS
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2317
KS
Other
Enumeration date
01/14/2019
Last updated
03/14/2022
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