NPI 1093347189

Clara Wikstrom

Practitioner Behavior Technician Parkville, MO

Practice location

Address: 6330 NW Kelly Dr STE a, Parkville, MO 64152-4027
Phone: (816) 469-5162
Mailing address: 3253 Agnes Ave, Kansas City, MO 64128-1944

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1093347189
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2020
Record last updated: 7 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.