Individual
JONATHAN BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
17556 AIKEN RD, LOUISVILLE, KY 40245-4447
(502) 810-8842
Mailing address
17556 AIKEN RD, LOUISVILLE, KY 40245-4447
(502) 963-2663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
272738
KY
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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