Individual
MRS. ELIZABETH NICOLE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
1451 DIEDERICH BLVD, RUSSELL, KY 41169-1718
(606) 388-4511
(606) 388-4512
Mailing address
1451 DIEDERICH BLVD, RUSSELL, KY 41169-1718
(606) 388-4511
(606) 388-4512
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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