Individual
KARLIE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4695 HARDINSBURG RD, CECILIA, KY 42724-9787
(270) 205-4499
Mailing address
4695 HARDINSBURG RD, CECILIA, KY 42724-9787
(270) 205-4499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-307716
KY
Other
Enumeration date
11/08/2023
Last updated
05/07/2026
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