Individual
ASHANTI PEPPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(708) 768-1359
Mailing address
1405 E BURNETT AVE, LOUISVILLE, KY 40217-1577
(502) 588-0730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
265381
KY
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054682181
—
KY
Enumeration date
06/25/2019
Last updated
06/02/2021
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