Individual
MADISON SUMMERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5127 LAWN AVE, KANSAS CITY, MO 64130-3148
(402) 650-0094
Mailing address
5127 LAWN AVE, KANSAS CITY, MO 64130-3148
(402) 650-0094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MO
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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