Provider Demographics
NPI:1770220345
Name:ADAIR, TOBY
Entity type:Individual
Prefix:
First Name:TOBY
Middle Name:
Last Name:ADAIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 W 94TH ST APT 212
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2751
Mailing Address - Country:US
Mailing Address - Phone:913-717-9206
Mailing Address - Fax:
Practice Address - Street 1:10875 GRANDVIEW DR STE 2200
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1510
Practice Address - Country:US
Practice Address - Phone:402-990-9708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician