Individual
ERICA C CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
938 2ND ST, HENDERSON, KY 42420-3231
(270) 860-9594
Mailing address
PO BOX 66, HENDERSON, KY 42419-0066
(270) 860-9594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1004
KY
Other
Enumeration date
12/09/2013
Last updated
06/07/2020
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