Individual
JOHANNA BANFILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(314) 378-3073
Mailing address
9410 ECHO LN, SAINT LOUIS, MO 63114-3708
(314) 378-3073
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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