Individual
JOHN CHRISTOPHER VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3002 YOUNGER DR, HARRISONVILLE, MO 64701-3909
(417) 448-9766
(816) 265-1828
Mailing address
2051 S 47TH CIR, KANSAS CITY, KS 66106-2476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MOKA15613
BLU CROSS BLUE SHIELD
MO
Enumeration date
01/27/2018
Last updated
01/27/2018
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