Individual
MRS. HEATHER ANN EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(812) 972-4371
Mailing address
5114 BARRY LN, FLOYDS KNOBS, IN 47119-9508
(812) 972-4371
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251788
KY
Other
Enumeration date
07/10/2019
Last updated
09/30/2020
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