Individual
LEEANN ELIZABETH BUTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
724 BARRETT BLVD STE A, HENDERSON, KY 42420-4931
(707) 024-6412
(615) 577-5654
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(844) 359-7629
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-23928
BCBA CERTIFICATE
—
Enumeration date
01/03/2017
Last updated
07/17/2020
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