Individual
DALTON NORDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6394 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(800) 345-0448
Mailing address
6394 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(800) 345-0448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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