Individual
AMBER D GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 764-2887
Mailing address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 764-2887
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00522
KS
103K00000X
Behavior Analyst
2020000892
MO
Other
Enumeration date
02/05/2020
Last updated
08/28/2022
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