Individual
ELIZABETH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 452-8131
Mailing address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 452-8131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
267896
KY
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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