Organization
KIDSTLC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THOMAS (CFO)
(913) 324-3681
Entity
Organization
Contact information
Practice address
620 S ROGERS RD, OLATHE, KS 66062-1704
(913) 764-2887
(913) 780-3387
Mailing address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 764-2887
(913) 780-3387
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1073899
MO
103K00000X
Behavior Analyst
Primary
1084035
MO
171M00000X
Case Manager/Care Coordinator
1073899
MO
171M00000X
Case Manager/Care Coordinator
1084035
MO
251S00000X
Community/Behavioral Health Agency
1073899
MO
251S00000X
Community/Behavioral Health Agency
1084035
MO
Other
Enumeration date
07/24/2013
Last updated
07/15/2021
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