Individual
JODI LYNN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPP,LBA, BCBA
Contact information
Practice address
2325 RIDGEWOOD DR, MADISONVILLE, KY 42431-9411
(270) 339-0127
Mailing address
2325 RIDGEWOOD DR, MADISONVILLE, KY 42431-9411
(270) 339-0127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0048
KY
103T00000X
Psychologist
0108
KY
Other
Enumeration date
04/25/2007
Last updated
12/04/2014
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