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Justin Bruce

Behavior Technician in Kansas City, MO. Individual provider (NPI-1).

NPI number1669933933
StatusActive
Last updated in NPPESMar 28, 2019

Details

NPI
1669933933
Entity type
Individual (NPI-1)
Name
Justin Bruce
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2019
Last updated
Mar 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-19-79105–Yes

Practice location

1460 Nw Vivion Rd
Kansas City, MO 64118-4555

Phone 816-853-0946 · Fax 816-396-8809

Mailing address

1460 Nw Vivion Rd
Kansas City, MO 64118-4555

Phone 816-853-0946 · Fax 816-396-8809

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