Individual
CYNTHIA SUZANNE BIRKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 BONNYCASTLE AVE, LOUISVILLE, KY 40205-1014
(615) 480-9057
Mailing address
1709 BONNYCASTLE AVE, LOUISVILLE, KY 40205-1014
(615) 480-9057
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
167319
KY
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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