Individual
CHELSEA HEATWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2412 S 7 HWY, BLUE SPRINGS, MO 64014-4565
(816) 608-1961
(800) 687-5070
Mailing address
248 NE BARRY RD, KANSAS CITY, MO 64155-2722
(816) 608-1957
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-175354
MO
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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