Individual
KASSIDY ANDRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
Mailing address
14332 E HAWTHORNE ST, WICHITA, KS 67230-1773
(316) 765-5926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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