Individual
KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
520 NE COLBERN RD STE 200, LEES SUMMIT, MO 64086-4711
(816) 643-4959
Mailing address
6600A ROYAL ST, PLEASANT VALLEY, MO 64068-8702
(816) 398-8509
(816) 246-5219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12689224
MO
106S00000X
Behavior Technician
Primary
RBT-23-310911
MO
Other
Enumeration date
01/14/2026
Last updated
05/01/2026
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