Individual
MS. HANNAH GRACE HOBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
944 FIELDS DR # 102, BOWLING GREEN, KY 42104-5341
(270) 495-1312
Mailing address
349 PIRATES COVE LN, BOWLING GREEN, KY 42103-9609
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB728502
KY
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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