Individual
SOPHIA ELIZABETH MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 W 61ST ST, SHAWNEE, KS 66203-2728
(913) 248-1414
Mailing address
11104 W 61ST ST, SHAWNEE, KS 66203-2728
(913) 369-4404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1003687
KS
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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