Healthcare Provider Details

I. General information

NPI: 1871740795
Provider Name (Legal Business Name): JANELLE R ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANELLE R AMICK

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 E 29TH ST N
WICHITA KS
67226-2169
US

IV. Provider business mailing address

8700 E 29TH ST N
WICHITA KS
67226-2169
US

V. Phone/Fax

Practice location:
  • Phone: 316-634-8722
  • Fax: 316-634-8850
Mailing address:
  • Phone: 316-634-8722
  • Fax: 316-634-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-60527
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: