Individual
EMMA FRANCES GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
111 SHAWNEE ST, LEAVENWORTH, KS 66048-2058
(913) 940-3371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-381608
KS
106S00000X
Behavior Technician
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Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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