Individual
BECKY NASTALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 BROADWAY ST STE 501, PADUCAH, KY 42001-0740
(270) 908-0461
(270) 366-0780
Mailing address
333 BROADWAY ST STE 501, PADUCAH, KY 42001-0740
(270) 908-0461
(270) 366-0780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0016
KY
Other
Enumeration date
02/14/2012
Last updated
12/30/2014
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