Individual
JESSICA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1035 STRADER DR STE 150, LEXINGTON, KY 40505-4090
(859) 899-9200
(859) 899-9202
Mailing address
1035 STRADER DR STE 150, LEXINGTON, KY 40505-4090
(859) 899-9200
(859) 899-9202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-92980
KY
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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