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Individual

MS. JENNIFER ANN KOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
4721 S. CLIFF AVE, INDEPENDENCE, MO 64055
(816) 608-1958
Mailing address
4721 S. CLIFF AVE, INDEPENDENCE, MO 64055
(816) 608-1958

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-65236
KS
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/28/2018
Last updated
08/25/2021
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