Individual
KATIE SIAS WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
9900 SHELBYVILLE RD STE 8, LOUISVILLE, KY 40223-2965
(502) 915-8796
(502) 805-0765
Mailing address
9900 SHELBYVILLE RD UNIT 11, LOUISVILLE, KY 40223-2937
(502) 915-8796
(502) 805-0765
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
101584
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-06-2722
BEHAVIOR ANALYSIS CERTIFICATION BOARD (BACB)
—
01
—
101584
KENTUCKY APPLIED BEHAVIOR ANALYST LICENSING BOARD
KY
05
—
7100332400
—
KY
Enumeration date
11/23/2010
Last updated
07/25/2019
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