Individual
JACLYN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8760 MONROVIA ST, LENEXA, KS 66215-3537
(913) 214-2677
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00906
KS
Other
Enumeration date
05/19/2023
Last updated
08/22/2025
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