Individual
RONDASHA EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(859) 447-2309
Mailing address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(859) 447-2309
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-59062
KY
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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