Individual
MRS. ANITA OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9430 GILLETTE ST, OVERLAND PARK, KS 66215-3770
(816) 873-5327
Mailing address
5201 LOWELL ST, OVERLAND PARK, KS 66202-1149
(913) 563-2541
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-81708
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-81708
RBT
KS
Enumeration date
03/21/2019
Last updated
03/21/2019
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