Individual
NICHOLAS L WEATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4002 SPRINGHILL RD, LOUISVILLE, KY 40207-4518
(502) 473-7219
(502) 473-7315
Mailing address
4002 SPRINGHILL RD, LOUISVILLE, KY 40207-4518
(502) 473-7219
(502) 473-7315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1062794
KY
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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