Individual
AUTUMN FRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1202
(859) 282-6518
Mailing address
535 WATERWORKS RD, WILLIAMSTOWN, KY 41097-8917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1178440
KY
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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