Individual
CHARISSE ELLEENE ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
8100 E 22ND ST N STE 1600-B, WICHITA, KS 67226-2321
(316) 613-3543
Mailing address
2011 N PINE GROVE CT, WICHITA, KS 67212-5019
(562) 447-7061
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-11885
—
Other
Enumeration date
01/15/2018
Last updated
01/21/2022
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