Individual
MICHAEL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17140 BEL RAY PL, BELTON, MO 64012-5331
(816) 730-8525
(816) 265-8525
Mailing address
17140 BEL RAY PL, BELTON, MO 64012-5331
(816) 730-8525
(816) 265-8525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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