Individual
JADEN TROY PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 S WASHINGTON ST, OREGON, MO 64473-9657
(816) 294-6007
Mailing address
2321 S 18TH ST, SAINT JOSEPH, MO 64503-2828
(816) 294-6007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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