Individual
TAYLOR DELANEY BLOOMHUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 DENNIS DRIVE, LEXINGTON, KY 40503, LEXINGTON, KY 40503-4050
(859) 559-6044
Mailing address
112 DENNIS DRIVE, LEXINGTON, KY 40503, LEXINGTON, KY 40503
(859) 559-6044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-141666
KY
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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