Individual
TYRIANA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6423 COLLEGE AVE, KANSAS CITY, MO 64132-1205
(816) 824-6715
Mailing address
6423 COLLEGE AVE, KANSAS CITY, MO 64132-1205
(816) 824-6715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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