Individual
BRIANA N LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
9943 FOREST GREEN BLVD, LOUISVILLE, KY 40223-5123
(502) 830-9454
Mailing address
3216 BALLARD LN, NEW ALBANY, IN 47150-7200
(812) 590-2157
(866) 680-4566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-107339
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-107339
RBT
KY
Enumeration date
07/18/2022
Last updated
07/18/2022
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