Individual
ISHRAQ KHALEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5350 COLLEGE BLVD, LENEXA, KS 64137
(816) 501-5138
Mailing address
4400 MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130
(816) 994-5693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-495095
KS
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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