Individual
SHENIECE JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 E 22ND ST N STE 1600-B, WICHITA, KS 67226-2321
(316) 201-6424
Mailing address
611 S BLECKLEY DR, WICHITA, KS 67218-2403
(316) 390-3148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56992
KS
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/19/2020
Last updated
03/07/2022
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