Individual
MARY MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 HERITAGE AVE APT 1, GARDEN CITY, KS 67846-7954
(316) 258-1648
Mailing address
2213 HERITAGE AVE APT 1, GARDEN CITY, KS 67846-7954
(316) 258-1648
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB922931
KS
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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