Individual
ANDREA STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HUNT RD, FORT LEAVENWORTH, KS 66027-1410
(816) 469-5162
Mailing address
101 HUNT RD, FORT LEAVENWORTH, KS 66027-1410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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