Individual
REGINA MICHEL DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
(816) 984-8280
Mailing address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
(816) 984-8280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45752
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/04/2019
Last updated
11/04/2024
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