Individual
KIMBERLY A. OVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5637-1 LOCKRIDGE LOOP, FORT HOOD, TX 76544-2673
(586) 588-0253
Mailing address
5637-1 LOCKRIDGE LOOP, FORT HOOD, TX 76544-2673
(586) 588-0253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18982
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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