Individual
KORI STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24690 MO HWY 92, PLATTE CITY, KS 64079-1966
(785) 410-8426
Mailing address
24690 MO HWY 92, PLATTE CITY, KS 64079-1966
(785) 410-8426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-15-09756
—
106S00000X
Behavior Technician
RBT-17-38877
—
225A00000X
Music Therapist
Primary
13586
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13586
MT-BC (MUSIC THERAPIST BOARD CERTIFIED)
—
05
—
201230650
—
KS
01
—
RBT-17-38877
RBT (REGISTERED BEHAVIOR TECHNICIAN)
—
Enumeration date
12/21/2017
Last updated
09/13/2021
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