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Individual

JENIFER M CATLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 HAMMOND PLZ, HOPKINSVILLE, KY 42240
(270) 886-5186
(270) 886-0393
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT
BEHAVIOR ANALYSIS CERTIFICATION BOARD
TN
Enumeration date
01/31/2019
Last updated
05/09/2019
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