Individual
VIVIAN XAYAPHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 W 22ND ST APT E3, LAWRENCE, KS 66047-2651
(816) 521-9945
Mailing address
2912 SWEET BRIAR DR, INDEPENDENCE, MO 64057-1450
(816) 521-9945
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-361885
MO
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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