Individual
ALEXIS HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 S 7TH ST, KANSAS CITY, KS 66103-2602
(913) 528-5322
(913) 355-0215
Mailing address
3965 W 83RD ST # 157, PRAIRIE VILLAGE, KS 66208-5308
(913) 735-3393
(913) 355-0215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-19-4277
KS
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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