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Individual

JOSIAH SHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9393 W 110TH ST # 51, OVERLAND PARK, KS 66210-1442
(855) 832-6727
(772) 675-9100
Mailing address
236 W CHASE AVE, BURLINGAME, KS 66413-1549
(785) 654-3220

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/03/2021
Last updated
04/03/2021
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