Individual
TARA PELFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
309 LYNDON LN, LOUISVILLE, KY 40222-4603
(502) 594-2731
Mailing address
309 LYNDON LN, LOUISVILLE, KY 40222-4603
(502) 594-2731
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KY-0073
KY
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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