Individual
MS. OLIVIA NICOLE WINSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1000 INDUSTRIAL DR, OWENSBORO, KY 42301-8715
(270) 689-6800
Mailing address
4120 TANBARK PL, OWENSBORO, KY 42303-2262
(270) 929-8240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
173067
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100472970
—
KY
Enumeration date
04/10/2017
Last updated
07/21/2022
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