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Individual

JANE KATHERINE DETOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
2357 HUGUENARD DR, LEXINGTON, KY 40503-3015
(859) 436-8585
Mailing address
2357 HUGUENARD DR, LEXINGTON, KY 40503-3015

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
240229
KY
103K00000X
Behavior Analyst

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-17-28561
BCBA CERTIFICATE
Enumeration date
01/18/2016
Last updated
01/30/2026
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