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Individual

COLBY PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
(816) 984-8280
Mailing address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
(816) 984-8280
(816) 984-8281

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-346957
MO

Other

Enumeration date
06/25/2024
Last updated
06/25/2024
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