Provider Demographics
NPI:1114627304
Name:REXIN, VALERIE JOLENA (BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:JOLENA
Last Name:REXIN
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 NE 46TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-2042
Mailing Address - Country:US
Mailing Address - Phone:816-674-9706
Mailing Address - Fax:
Practice Address - Street 1:2000 NE 46TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-2042
Practice Address - Country:US
Practice Address - Phone:816-674-9706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1-09-5643103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst