Individual
CESIAH BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4032 FERGUSON DR, ASHLAND, KY 41101-6261
(606) 465-7588
Mailing address
4032 FERGUSON DR, ASHLAND, KY 41101-6261
(606) 465-7588
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65690
KY
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810024363
—
WV
Enumeration date
12/23/2020
Last updated
06/23/2023
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