Provider Demographics
NPI:1235749094
Name:BEERS, KARA LEE
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:LEE
Last Name:BEERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5655 SE 125TH RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MO
Mailing Address - Zip Code:64443-4137
Mailing Address - Country:US
Mailing Address - Phone:913-406-1151
Mailing Address - Fax:
Practice Address - Street 1:5655 SE 125TH RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MO
Practice Address - Zip Code:64443-4137
Practice Address - Country:US
Practice Address - Phone:913-406-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSRBT-20-122930106S00000X
MO2021014487103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician