Misty Thakker

NPI #1992240824 in Eudora, Kansas

Provider Information

NPI Number: 1992240824
Entity Type: Individual
Name: Misty Thakker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 2, 2017
Last Updated: Jan 2, 2017

Practice Location

Address: 15 ITHICA CT
City: Eudora
State: Kansas
ZIP Code: 66025-9762
Phone: (785) 218-2668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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