Individual
MADISON LEIGH WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6394 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(800) 345-0448
Mailing address
9302 BALES AVE APT 301, KANSAS CITY, MO 64132-2889
(641) 757-2338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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