Provider Demographics
NPI:1508512823
Name:SAENZ, REESE A
Entity Type:Individual
Prefix:
First Name:REESE
Middle Name:A
Last Name:SAENZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REESE
Other - Middle Name:A
Other - Last Name:ROTHLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4721 S CLIFF AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6969
Mailing Address - Country:US
Mailing Address - Phone:816-608-1958
Mailing Address - Fax:800-687-5070
Practice Address - Street 1:4721 S CLIFF AVE STE 103
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6969
Practice Address - Country:US
Practice Address - Phone:816-608-1958
Practice Address - Fax:800-687-5070
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician