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Individual

JACOB EMERY POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, BCBA, LBA

Contact information

Practice address
112 DENNIS DR, LEXINGTON, KY 40503-2988
(859) 308-1392
Mailing address
112 DENNIS DR, LEXINGTON, KY 40503-2988
(859) 308-1392

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
163670
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-15-18467
BCBA CERTIFICATE
Enumeration date
07/28/2016
Last updated
01/02/2026
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