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NPI Code Detail

MEDICARE: ABBY DAOHEUAUG

MEDICARE: ABBY DAOHEUAUG
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1821611914
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY DAOHEUAUG
Provider Business Mailing Address
First Line : 5863 NW 72ND ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-1483
Country : US
Telephone Number : 816-984-8280
Fax Number :
Provider Business Practice Location Address
First Line : 610 HUMBOLDT ST
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-6035
Country : US
Telephone Number : 913-250-5634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2020
Last Update Date : 03/22/2023

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Directions to “ ABBY DAOHEUAUG ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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