Individual
ALEXIS BRAATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11235 MASTIN ST STE 201, OVERLAND PARK, KS 66210-2929
(913) 318-9500
Mailing address
4000 W 68TH ST, PRAIRIE VILLAGE, KS 66208-2103
(913) 318-9500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106500
KS
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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