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General NPI Number Information
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NPI Number | 1417840273
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Entity Type | Organization
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Legal Business Name | FRIENDS AND FAMILY BEHAVIORAL HEALTH, CORP
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3017 N 81ST ST
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City | KANSAS CITY
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State | KS
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Zip | 66109-1521
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Country | US
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Telephone | 816-507-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 N 81ST ST
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City | KANSAS CITY
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State | KS
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Zip | 66109-1521
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Country | US
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Telephone | 816-507-3320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAYLAN MASON
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Credential |
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Telephone | 816-507-3320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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