Individual
JOHNATHAN DAVID ARTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA
Contact information
Practice address
117 E JEFFERSON ST, GEORGETOWN, KY 40324-1764
(859) 224-2273
(859) 224-4675
Mailing address
109 WIND HAVEN DR STE 100, NICHOLASVILLE, KY 40356-8010
(859) 224-2273
(859) 224-4675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
291009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-71525
BACB
—
Enumeration date
05/01/2019
Last updated
04/16/2024
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