Individual
MARK AUSTIN KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3051 KIRKLEVINGTON DR APT 47, LEXINGTON, KY 40517-2435
(978) 895-7864
Mailing address
3051 KIRKLEVINGTON DR APT 47, LEXINGTON, KY 40517-2435
(978) 895-7864
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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