Provider Demographics
NPI:1669282794
Name:MUNOZ, GISSEL (RBT)
Entity type:Individual
Prefix:
First Name:GISSEL
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:GISSEL
Other - Middle Name:
Other - Last Name:MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:913 SHEIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-9514
Mailing Address - Country:US
Mailing Address - Phone:816-301-4533
Mailing Address - Fax:816-439-8018
Practice Address - Street 1:913 SHEIDLEY AVE
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-9514
Practice Address - Country:US
Practice Address - Phone:816-301-4533
Practice Address - Fax:816-439-8018
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician