Individual
KARISSA MARGARET SOULEOTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
9943 FOREST GREEN BLVD, LOUISVILLE, KY 40223-5123
(502) 830-9454
Mailing address
9943 FOREST GREEN BLVD, LOUISVILLE, KY 40223-5123
(502) 830-9454
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68521
KY
106S00000X
Behavior Technician
RBT-20-136912
KY
Other
Enumeration date
10/22/2020
Last updated
11/13/2023
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