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Individual

JESSICA ERIN LAFFERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(191) 394-8422
(913) 948-4223
Mailing address
14325 W 116TH ST APT 2524, OLATHE, KS 66062-3788
(573) 429-4208

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
013
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013
BEHAVIORAL SCIENCES REGULATORY BOARD
KS
01
1-15-20668
BEHAVIOR ANALYST CERTIFICATION BOARD
Enumeration date
09/26/2017
Last updated
09/26/2017
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