Individual
KRISTEN PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6394 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(800) 345-0448
Mailing address
6394 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(800) 345-0448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15879
KS
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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