Individual
JAIDEN TAYLOR MATTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1009 SE BROWNING AVE, LEES SUMMIT, MO 64081-2922
(816) 301-4533
Mailing address
10875 GRANDVIEW DR STE 2200, OVERLAND PARK, KS 66210-1510
(816) 301-4533
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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