Individual
HOPE BAZILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17210 MIDLAND DR, SHAWNEE, KS 66217
(913) 777-9718
(913) 273-0565
Mailing address
5313 W 158TH PL, OVERLAND PARK, KS 66224-3616
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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