Individual
HEATHER BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5211 VIKING WAY UNIT 204, LOUISVILLE, KY 40272-6282
(606) 422-9121
Mailing address
5211 VIKING WAY UNIT 204, LOUISVILLE, KY 40272-6282
(606) 422-9121
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABALBA00218341
KY
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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