MEDICARE: MADELINE SALSMAN

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	106S00000X	Behavior Technician	RBT-21-154543

General Provider Information

NPI Number	:	1891465894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE SALSMAN

Provider Business Mailing Address
First Line	:	8743 W 121ST TER APT 901
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-1584
Country	:	US
Telephone Number	:	913-221-9131
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 W 68TH ST
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-2103
Country	:	US
Telephone Number	:	913-318-9500
Fax Number	:

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

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	09/20/2021

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Directions to “ MADELINE SALSMAN ” Practice Location

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