Individual
JILLIAN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 W 61ST ST, SHAWNEE, KS 66203-2728
(913) 369-4404
Mailing address
11104 W 61ST ST, SHAWNEE, KS 66203-2728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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