Individual
EMMA VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17210 MIDLAND DR, SHAWNEE, KS 66217-8901
(913) 777-9718
Mailing address
206 HAINES DR, MERIDEN, KS 66512-9483
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
04/02/2025
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