Individual
MADISON YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 HARGRAVE CT, HEBRON, KY 41048-6900
(859) 317-2085
Mailing address
3580 HARGRAVE CT, HEBRON, KY 41048-6900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
283543
KY
106E00000X
Assistant Behavior Analyst
281276
KY
Other
Enumeration date
10/14/2022
Last updated
12/14/2023
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