Provider Demographics
NPI:1467261222
Name:BEST, ANTONIO DEJUAN
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:DEJUAN
Last Name:BEST
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 1:10409 MASTIN ST APT B
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-5707
Mailing Address - Country:US
Mailing Address - Phone:913-242-2889
Mailing Address - Fax:
Practice Address - Street 1:10409 MASTIN ST APT B
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5707
Practice Address - Country:US
Practice Address - Phone:913-242-2889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-24-370761106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician