Individual
KAYLIE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20597 COUNTY ROAD 386, SAINT JOSEPH, MO 64505-3197
(816) 469-5162
Mailing address
20597 COUNTY ROAD 386, SAINT JOSEPH, MO 64505-3197
(816) 262-4135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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