Individual
HEIDI COLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
2107 ELMDALE AVE, JUNCTION CITY, KS 66441-4521
(785) 410-2422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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