Malaisia Rachelle Durrant

NPI #1174357057 in Gladstone, Missouri

Provider Information

NPI Number: 1174357057
Entity Type: Individual
Name: Malaisia Rachelle Durrant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 31, 2024
Last Updated: Aug 31, 2024

Practice Location

Address: 1707 NE 68TH TERRACE
City: Gladstone
State: Missouri
ZIP Code: 64118
Phone: (816) 469-5162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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