Individual
KIMBERLY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7725 W 87TH ST, OVERLAND PARK, KS 66212-1905
(913) 341-9316
Mailing address
2817 FOLSOM ST, LEAVENWORTH, KS 66048-4164
(719) 304-4779
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-134565
KS
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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