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NPI Code Detail

MEDICARE: FRIENDS AND FAMILY BEHAVIORAL HEALTH, CORP

MEDICARE: FRIENDS AND FAMILY BEHAVIORAL HEALTH, CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3106E00000XAssistant Behavior Analyst
4106S00000XBehavior Technician
5163WH0200XHome Health Registered Nurse
6251E00000XHome Health Agency
7251S00000XCommunity/Behavioral Health Agency
8103K00000XBehavior Analyst

General Provider Information

NPI Number : 1417840273
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRIENDS AND FAMILY BEHAVIORAL HEALTH, CORP
Provider Business Mailing Address
First Line : 3017 N 81ST ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66109-1521
Country : US
Telephone Number : 816-507-3320
Fax Number :
Provider Business Practice Location Address
First Line : 3017 N 81ST ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66109-1521
Country : US
Telephone Number : 816-507-3320
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAYLAN MASON
Credential :
Telephone Number : 816-507-3320
Provider Enumeration Date : 05/30/2025
Last Update Date : 05/30/2025

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Directions to “FRIENDS AND FAMILY BEHAVIORAL HEALTH, CORP ” Practice Location

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