Individual
CASIE M FANSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10502 N AMBASSADOR DR, KANSAS CITY, MO 64153-1278
(816) 608-1951
(800) 687-5070
Mailing address
25900 CAMP GROUND RD, DE KALB, MO 64440-8912
(217) 779-1180
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2025032049
MO
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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