Individual
MARIA DIMODUGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
386
KS
106S00000X
Behavior Technician
RBT-17-38721
AZ
Other
Enumeration date
02/06/2018
Last updated
02/20/2023
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