Individual
SASHA KAITLIN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(316) 400-3535
Mailing address
205 E CLARK AVE, AUGUSTA, KS 67010-1511
(316) 494-1850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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