Individual
ALICIA BUNCE CAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
1300 E NEW CIRCLE ROAD, SUITE 150, LEXINGTON, KY 40505-9001
(859) 685-1019
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
240375
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28357
BCBA CERTIFICATE
—
Enumeration date
01/19/2018
Last updated
06/06/2022
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