Individual
JORDAN BROVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
799 E BRANNON RD, NICHOLASVILLE, KY 40356-6038
(859) 224-2273
(859) 224-4675
Mailing address
109 WIND HAVEN DR STE 100, NICHOLASVILLE, KY 40356-8010
(859) 224-2273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
276986
KY
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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