Individual
LILY CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
619 N 30TH ST, PADUCAH, KY 42001-4047
(270) 444-7898
(270) 933-1786
Mailing address
619 N 30TH ST, PADUCAH, KY 42001-4047
(270) 444-7898
(270) 933-1786
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-371684
KY
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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