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Individual
JEREMY MICHAEL EVANS
Active
Individual
JEREMY MICHAEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
307199
KY
106S00000X
Behavior Technician
Primary
RBT-19-77758
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-26-88034
BACB
KY
01
—
RBT-19-77758
RBT CERTIFICATE
—
Enumeration date
04/05/2019
Last updated
03/30/2026
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