Individual
KRISTEN NICHOLE CLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
912 LILY CREEK RD STE 101, LOUISVILLE, KY 40243-2815
(502) 709-6037
(270) 831-1182
Mailing address
181 W PROFESSIONAL PARK CT STE 1, BOWLING GREEN, KY 42104-3250
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
162834
KY
Other
Enumeration date
02/06/2015
Last updated
12/11/2017
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