Individual
SALLY PANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(913) 257-6892
Mailing address
9214 BELINDER RD, LEAWOOD, KS 66206-1873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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