Individual
MYCHAELA FAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10590 BARKLEY ST, OVERLAND PARK, KS 66212-1811
(816) 802-6969
Mailing address
4747 NW FLINTRIDGE RD, RIVERSIDE, MO 64150-1103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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