Individual
WHITNIE WOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2443 LAKEWAY DRIVE, RUSSELL SPRINGS, KY 42642-4264
(606) 416-4194
Mailing address
632 NELSON RD, RUSSELL SPRINGS, KY 42642-7950
(606) 416-4194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
265716
KY
103TB0200X
Cognitive & Behavioral Psychologist
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Other
Enumeration date
08/26/2018
Last updated
09/02/2020
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