Individual
BROOKLYN E FAHNESTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4866 W 135TH ST, LEAWOOD, KS 66224-8715
(832) 439-1896
(913) 815-4127
Mailing address
4866 W 135TH ST, LEAWOOD, KS 66224-8715
(832) 439-1896
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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