Individual
KEELY AMANDA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4135 DIXIE HWY, ELSMERE, KY 41018-1815
(513) 834-7063
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
256627
KY
106S00000X
Behavior Technician
RBT-18-60243
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-60243
RBT CERTIFICATE
—
Enumeration date
06/14/2019
Last updated
01/05/2024
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