Individual
MS. KEISHA MARIE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6446 E CENTRAL AVE # 252, WICHITA, KS 67206-1923
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
KS
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100409200F
—
KS
Enumeration date
05/11/2023
Last updated
04/02/2025
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