NPI 1093522740

Chandler Wortman

Practitioner Behavior Technician Grain Valley, MO

Practice location

Address: 108 Buckner Tarsney Rd, Grain Valley, MO 64029-8398
Phone: (816) 529-9557
Mailing address: 105 SW Eagles Pkwy, Grain Valley, MO 64029-8512

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-399958 (MO)

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Registry record

NPI: 1093522740
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2024
Record last updated: 16 Dec 2024

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.