Individual
JONI BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
11935 MASTIN ST, OVERLAND PARK, KS 66213-1629
(913) 901-1925
(913) 674-0963
Mailing address
2112 BIRCH ST, LEAVENWORTH, KS 66048-2403
(913) 901-1925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-100141
KS
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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