Individual
MS. LISA MARIE AMBROSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7725 W 87TH STREET, OVERLAND PARK, KS 66212
(913) 649-3838
Mailing address
PO BOX 8339, KANSAS CITY, MO 64114
(515) 419-9938
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43492
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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