Individual
BRANDON M ROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2464 FORTUNE DR STE 195, LEXINGTON, KY 40509-4261
(859) 899-9200
Mailing address
2464 FORTUNE DR STE 195, LEXINGTON, KY 40509-4261
(859) 899-9200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-260339
—
Other
Enumeration date
06/23/2023
Last updated
01/15/2025
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