Individual
KAYLA HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 409-9548
Mailing address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 409-9548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB357887
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB357887
L
KY
Enumeration date
08/23/2021
Last updated
08/23/2021
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