Individual
MRS. COURTNIE MARIEA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
125 REARDON BLVD, BARDSTOWN, KY 40004
(800) 701-0498
Mailing address
317 RESERVOIR RD, SPRINGFIELD, KY 40069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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