Individual
RONNIE WHITEBEAR-SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19201 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64055-6910
(816) 474-3995
Mailing address
140 NW VESPER ST, BLUE SPRINGS, MO 64014-2843
(816) 927-9721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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