Individual
CHRISTINA L JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 473-7219
(502) 709-9892
Mailing address
PO BOX 1659, SOMERSET, KY 42502-1659
(606) 677-2636
(606) 677-0412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KY0023
KY
Other
Enumeration date
10/09/2012
Last updated
09/29/2020
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