Individual
KATHLEEN MARIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, RBT
Contact information
Practice address
6330 NW KELLY DR STE A, PARKVILLE, MO 64152-4027
(816) 469-5162
Mailing address
1413 S PAWNEE DR, OLATHE, KS 66062-3212
(309) 826-5694
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-70144
KS
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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