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Organization

STEPHENS BEHAVIOR CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KYLE A. STEPHENS BCBA, LBA (LICENSED BEHAVIOR ANALYST)
(502) 794-6074
Entity
Organization

Contact information

Practice address
320 MAIN ST, SHELBYVILLE, KY 40065-1026
(502) 633-1315
(502) 633-1316
Mailing address
PO BOX 516, SHELBYVILLE, KY 40066-0516
(502) 633-1315

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KY-0060
KY

Other

Enumeration date
07/31/2013
Last updated
07/31/2013
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