Individual
BROOKLYN PAIGE HEUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 STRADER DR, LEXINGTON, KY 40505-4088
(859) 899-9200
Mailing address
1969 DRUMMOND DR, LEXINGTON, KY 40511-9195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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