Individual
COLLEEN HUETTENMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8819 LONG ST, LENEXA, KS 66215-3585
(913) 475-1095
Mailing address
5143 MAPLE AVE, MISSION, KS 66202-1825
(913) 475-1095
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-32069
KS
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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