Individual
JERESHA MISHA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10842 MCGEE ST, KANSAS CITY, MO 64114-5018
(816) 708-0540
Mailing address
9814 WHITE AVE, KANSAS CITY, MO 64134-1250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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