Provider Demographics
NPI:1053176594
Name:BLUNT, ASIA C
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:C
Last Name:BLUNT
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 1:10875 GRANDVIEW DR STE 2200
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1510
Mailing Address - Country:US
Mailing Address - Phone:913-390-3775
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:913-214-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician