Individual
STEPHANIE MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
105 COLLEGE ST, SOMERSET, KY 42501-1307
(606) 677-2636
Mailing address
14544 ENGLISH PARK CIR UNIT 102, LOUISVILLE, KY 40299-6481
(321) 961-1162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
290501
KY
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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