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Individual

MRS. CHERYL ANN MATHIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
3362 BOWLING BRANCH RD, MANCHESTER, KY 40962-5265
(606) 598-8625
Mailing address
3362 BOWLING BRANCH RD, MANCHESTER, KY 40962-5265
(606) 598-8625

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/11/2009
Last updated
05/12/2021
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