Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1095512 | FL |
NPI | 1013274133 |
---|---|
Provider Name | Ms. Ann Wheeler |
First Address | Shawnee Mission, KS 66204 |
Second Address | Shawnee Mission, KS 66204-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 13/04/2012 |