Cacy Larson

NPI #1174122329 in Basehor, Kansas

Provider Information

NPI Number: 1174122329
Entity Type: Individual
Name: Cacy Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 20, 2020
Last Updated: Feb 17, 2023

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 Technician	106S00000X	Primary

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