Individual
STEFFEN POPE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA, LBA
Contact information
Practice address
1421 LEXINGTON RD, RICHMOND, KY 40475-1059
(859) 624-2454
Mailing address
3834 PINE RIDGE WAY, LEXINGTON, KY 40514-1770
(859) 536-1527
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
252438
KY
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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