Individual
LA'SHANDRIA TA'SHAY WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
107 FINANCIAL PLACE, ELIZABETHTOWN, KY 42701-8450
(270) 763-8225
Mailing address
107 FINANCIAL DRIVE, ELIZABETHTOWN, KY 42701
(270) 763-8225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-391242
KY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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