Individual
JENNIFER KANITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E MARKET ST, WARRENSBURG, MO 64093-1842
(660) 747-7507
Mailing address
209 E MARKET ST, WARRENSBURG, MO 64093-1842
(660) 747-7507
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-214832
MO
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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