Healthcare Provider Details

I. General information

NPI: 1558817700
Provider Name (Legal Business Name): JOANNE VALCIN-DICKSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOANNE VALCIN

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY MO
64130-2870
US

IV. Provider business mailing address

4400 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY MO
64130-2870
US

V. Phone/Fax

Practice location:
  • Phone: 816-739-0634
  • Fax:
Mailing address:
  • Phone: 816-739-0634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: