Individual
KENDAL CROTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
3257 LOCH NESS DR, LEXINGTON, KY 40517-1240
(859) 899-9200
Mailing address
3257 LOCH NESS DR, LEXINGTON, KY 40517-1240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
288825
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-68784
BCBA CERTIFICATE
—
Enumeration date
10/21/2020
Last updated
11/17/2023
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