Individual
JACQUELYN DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12993 FROGTOWN CONNECTOR RD, WALTON, KY 41094-8447
(502) 889-6259
Mailing address
1674 COOK RIDGE RD, BROOKSVILLE, KY 41004-1112
(502) 889-6259
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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