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Individual

MEGAN ROSE QUINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8100 E 22ND ST N STE 1600-B, WICHITA, KS 67226-2321
(316) 201-6424
(316) 201-6428
Mailing address
8100 E 2ND ST N 1600 B, WICHITA, KS 67226
(316) 201-6424
(316) 201-6428

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-100395
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
KS
Enumeration date
12/17/2019
Last updated
12/17/2019
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