MRS. Carissa Anne Proffitt

NPI #1093132789 in Basehor, Kansas

Provider Information

NPI Number: 1093132789
Entity Type: Individual
Name: MRS. Carissa Anne Proffitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 19, 2014
Last Updated: Mar 19, 2014

Practice Location

Address: 1106 N 155TH ST STE B
City: Basehor
State: Kansas
ZIP Code: 66007-7100
Phone: (913) 662-7071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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