Individual
BROCK TENDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3332 BENTON BLVD, KANSAS CITY, MO 64128-2021
(816) 642-0614
Mailing address
3332 BENTON BLVD, KANSAS CITY, MO 64128-2021
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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