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Individual

MR. STEPHEN JOHN WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
128 FAIRLAWN AVE, LEXINGTON, KY 40505-3224
(859) 797-2763
Mailing address
PO BOX 1778, LEXINGTON, KY 40588-1778
(859) 797-2763

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KY-0004
KY

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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