MEDICARE: NATALIE CRAIG KAY CRAIG

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1841937588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CRAIG KAY CRAIG

Provider Business Mailing Address
First Line	:	31171 W 166TH ST
Second Line	:
City	:	GARDNER
State	:	KS
Zip	:	66030-7841
Country	:	US
Telephone Number	:	913-226-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	9142 W 135TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66221-2044
Country	:	US
Telephone Number	:	720-319-7614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2022
Last Update Date	:	05/15/2022

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Directions to “ NATALIE CRAIG KAY CRAIG ” Practice Location

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