Individual
TINA FATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1337 S FOUNTAIN DR, OLATHE, KS 66061-7205
(816) 368-8120
(800) 687-5070
Mailing address
248 NE BARRY RD, KANSAS CITY, MO 64155-2722
(816) 368-8120
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-102800
MO
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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