Individual
MR. BRENDON QUENTIN HABEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
8107 NE 73RD TER, KANSAS CITY, MO 64158-5452
(816) 382-2592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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