Individual
KATELYN MINKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8792
Mailing address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8891
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00412
KS
Other
Enumeration date
07/28/2016
Last updated
08/04/2021
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