Individual
DR. PAMELA L NEIDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
1000 SUNNYSIDE AVE, DOLE BLDG. ROOM 4001, LAWRENCE, KS 66045-7599
(785) 864-0526
(785) 864-5202
Mailing address
1000 SUNNYSIDE AVE, DOLE BLDG. ROOM 4001, LAWRENCE, KS 66045-7599
(785) 864-0526
(785) 864-5202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1693
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-04-1693
BCBA
—
Enumeration date
04/15/2013
Last updated
04/15/2013
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