Individual
COTY BRYANT CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1202
(859) 282-6518
Mailing address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-419926
KY
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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