Individual
ELIZABETH BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
9153 W 133RD ST, OVERLAND PARK, KS 66213-4333
(913) 257-5185
Mailing address
10330 HICKMAN MILLS DR, BUILDING II, KANSAS CITY, MO 64137-1618
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-14-6336
—
Other
Enumeration date
03/27/2015
Last updated
08/19/2019
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