Individual
JADA LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(212) 489-4040
Mailing address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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