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Individual

JESSICA NICHOLE HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
9900 SHELBYVILLE RD STE 8, LOUISVILLE, KY 40223-2965
(502) 915-8796
(502) 805-0765
Mailing address
9900 SHELBYVILLE RD STE 8, LOUISVILLE, KY 40223-2965
(502) 915-8796
(502) 805-0765

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
294456
KY

Other

Enumeration date
09/10/2024
Last updated
09/10/2024
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