Healthcare Provider Details

I. General information

NPI: 1124836200
Provider Name (Legal Business Name): DANA MICHELE RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 CHEROKEE ST
LEAVENWORTH KS
66048-2816
US

IV. Provider business mailing address

10875 GRANDVIEW DR STE 2200
OVERLAND PARK KS
66210-1510
US

V. Phone/Fax

Practice location:
  • Phone: 816-301-4533
  • Fax:
Mailing address:
  • Phone: 816-301-4533
  • Fax: 816-439-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-400877
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: