NPI 1457074684

Michael Graham

Practitioner Behavior Technician Belton, MO

Practice location

Address: 17140 Bel Ray Pl, Belton, MO 64012-5331
Phone: (816) 730-8525
Fax: (816) 265-8525

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1457074684
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2022
Record last updated: 22 Sep 2022

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.