Individual
JODIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 STRADER DR STE 150, LEXINGTON, KY 40505-4090
(859) 899-9200
Mailing address
1035 STRADER DR STE 150, LEXINGTON, KY 40505-4090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-153550
KY
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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