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Individual

MRS. JULIANNE RENEE JOSENDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
26180 W 77TH ST, SHAWNEE, KS 66227-3013
(214) 208-4128
(913) 586-4989
Mailing address
26180 W 77TH ST, SHAWNEE, KS 66227-3013
(214) 208-4128
(913) 586-4989

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0986
TX
222Q00000X
Developmental Therapist
1-02-0986
TX

Other

Enumeration date
05/08/2008
Last updated
08/10/2010
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