Individual
KRISTINE MARIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 558-3410
(316) 267-5444
Mailing address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 558-3410
(316) 267-5444
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
KS
106S00000X
Behavior Technician
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942649116
—
KS
Enumeration date
04/21/2017
Last updated
04/21/2017
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