Healthcare Provider Details

I. General information

NPI: 1437089679
Provider Name (Legal Business Name): LINDSAY ROSE HOUSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9393 W 110TH ST STE 51
OVERLAND PARK KS
66210-1442
US

IV. Provider business mailing address

1111 INDIANA ST APT 754B
LAWRENCE KS
66044-3532
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 314-583-9079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: