Michaela Dervin
Behavior Technician in Overland Park, KS. Individual provider (NPI-1).
NPI number1164098224
StatusActive
Last updated in NPPESMay 31, 2021
Details
- NPI
- 1164098224
- Entity type
- Individual (NPI-1)
- Name
- Michaela Dervin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2021
- Certification date
- May 31, 2021
- Last updated
- May 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10551 Barkley St Ste 205Overland Park, KS 66212-1812
Phone 785-760-0137
Mailing address
Po Box 860063Shawnee, KS 66286-0063
Phone 913-213-0676
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All 771 Behavior Technician providers in Overland Park · All 7,955 providers in Overland Park
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