Individual
CARLY SAVANNAH HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3761 JOHNSON HALL DR, MASONIC HOME, KY 40041-9998
(502) 293-1965
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 293-1695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-243610
KY
Other
Enumeration date
04/07/2023
Last updated
11/27/2023
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