Individual
ALLYSON D JARBOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 S MAIN ST, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Mailing address
243 JARBOE RD, CLARKSON, KY 42726-8666
(270) 312-6750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-62860
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KYHAN6495217
ANTHEM
KY
Enumeration date
08/15/2018
Last updated
08/15/2018
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