Individual
RANDI WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10632 EAGLE WAY, HOPKINSVILLE, KY 42240-8775
(270) 215-9545
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
106S00000X
Behavior Technician
Primary
17-33194
KY
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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