Individual
MS. CAMRYN NICHOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NEVILLE DR, LOUISVILLE, KY 40216-3820
(502) 633-1007
(502) 805-1511
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 805-1511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
295171
KY
106S00000X
Behavior Technician
RBT-20-146204
FL
Other
Enumeration date
09/30/2020
Last updated
12/16/2024
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