Individual
STEPHANIE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
925 DUDLEY PIKE, EDGEWOOD, KY 41017-8120
(859) 360-3006
(859) 360-3053
Mailing address
925 DUDLEY PIKE, EDGEWOOD, KY 41017-8120
(859) 360-3006
(859) 360-3053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2086
MA
Other
Enumeration date
06/08/2020
Last updated
06/08/2021
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