Individual
AMANDA RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
207 TOWNEPARK CIR, LOUISVILLE, KY 40243-2321
(502) 690-8370
(502) 742-0794
Mailing address
PO BOX 1659, SOMERSET, KY 42502-1659
(606) 677-2636
(606) 677-0412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9606
KY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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