Individual
BETHIAH DAKOTAH NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(816) 718-8389
Mailing address
506 WILMA WAY, LAWRENCE, KS 66049-4844
(620) 687-3842
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
01/09/2024
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