Individual
JOHN GAGE PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8760 MONROVIA ST, LENEXA, KS 66215-3537
(573) 410-8123
Mailing address
8760 MONROVIA ST, LENEXA, KS 66215-3537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022042099
MO
Other
Enumeration date
08/18/2020
Last updated
09/30/2025
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