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Individual

ISAIAH TOWNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
108 BUCKNER TARSNEY RD, GRAIN VALLEY, MO 64029-8398
(816) 265-1170
Mailing address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 265-1170

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-440199
MO

Other

Enumeration date
05/30/2025
Last updated
05/30/2025
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