Individual
CHRISTINA REVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1337 S FOUNTAIN DR, OLATHE, KS 66061-7205
(913) 379-1656
(800) 687-5070
Mailing address
4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 64055-6969
(816) 608-1956
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-166622
—
171M00000X
Case Manager/Care Coordinator
48-1284401
KS
Other
Enumeration date
06/02/2015
Last updated
01/10/2024
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