Individual
JAIME FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 245-1576
Mailing address
9904 HONEY LOCUST LN APT 103, LOUISVILLE, KY 40241-3191
(502) 235-8401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100863930
—
KY
Enumeration date
08/14/2014
Last updated
12/07/2022
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