Individual
CONNOR JAMES SPURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6420 W 95TH ST STE 100, OVERLAND PARK, KS 66212-1434
(913) 826-3150
Mailing address
3344 GILLHAM RD APT 1E, KANSAS CITY, MO 64109-1761
(847) 764-9768
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11751
KS
106S00000X
Behavior Technician
RBT-18-59067
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11751
BEHAVIORAL SCIENCES REVIEW BOARD
KS
01
—
RBT-18-59067
BEHAVIOR ANALYST CERTIFICATION BOARDS
—
Enumeration date
06/10/2019
Last updated
07/30/2020
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