Mia Rose Anderson

NPI #1942937123 in Basehor, Kansas

Provider Information

NPI Number: 1942937123
Entity Type: Individual
Name: Mia Rose Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 6, 2022
Last Updated: Mar 20, 2025

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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