Individual
CARRIE LYNNE PRITCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LBA
Contact information
Practice address
705 WAKEFIELD ST, BOWLING GREEN, KY 42103-1552
(270) 935-5119
(270) 935-5109
Mailing address
705 WAKEFIELD ST, BOWLING GREEN, KY 42103-1552
(270) 935-5119
(270) 935-5109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
163008
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100332420
—
KY
Enumeration date
01/06/2015
Last updated
09/01/2023
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