Individual
MELISSA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6394 COLLEGE BLVD, LEAWOOD, KS 66211-1506
(800) 345-0448
Mailing address
3818 NE 54TH ST, KANSAS CITY, MO 64119-2737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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