Individual
LAURA ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14844 W 107TH ST, LENEXA, KS 66215-4002
(913) 386-5500
Mailing address
111 PRATT AVE, BONNER SPRINGS, KS 66012-1512
(913) 439-8266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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