Individual
ALEXANDRA F KOPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3901 CENTRAL PIKE STE 500, HERMITAGE, TN 37076-3431
(502) 792-0236
Mailing address
9200 SHELBYVILLE RD STE 531, LOUISVILLE, KY 40222-5132
(502) 792-0236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0-17-8075
CA
Other
Enumeration date
12/13/2017
Last updated
09/01/2023
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