Provider Demographics
NPI:1841751138
Name:HATCHER, EMILY (RBT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HATCHER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9430 GILLETTE ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3770
Mailing Address - Country:US
Mailing Address - Phone:816-873-5327
Mailing Address - Fax:
Practice Address - Street 1:9430 GILLETTE ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3770
Practice Address - Country:US
Practice Address - Phone:816-873-5327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORBT-19-81502106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician