MEDICARE: AMBER F MCCOMMON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		KS
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1417848227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER F MCCOMMON

Provider Business Mailing Address
First Line	:	5316 N BALES AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-2745
Country	:	US
Telephone Number	:	816-508-0446
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 FOREST AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64109-2645
Country	:	US
Telephone Number	:	816-508-0446
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	07/10/2025

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Directions to “ AMBER F MCCOMMON ” Practice Location

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