Individual
THOMASA SHANNEL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 E 24TH ST # AT, KANSAS CITY, MO 64127-4016
(816) 302-5622
Mailing address
2705 E 24TH ST # AT, KANSAS CITY, MO 64127-4016
(816) 302-5622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT25-453608
MO
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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