Healthcare Provider Details

I. General information

NPI: 1083591119
Provider Name (Legal Business Name): CLARAMOR EARLY LEARNING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 BLUE RIDGE BLVD
KANSAS CITY MO
64134-1511
US

IV. Provider business mailing address

9901 BLUE RIDGE BLVD
KANSAS CITY MO
64134-1511
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 913-725-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNON PATTERSON
Title or Position: OWNER/OPERATOR
Credential:
Phone: 913-725-8334