Individual
SYDNEY HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
363 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-3302
(270) 352-1132
Mailing address
141 BOTLAND LOOP, BARDSTOWN, KY 40004-8930
(812) 584-0960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780092957
—
KY
Enumeration date
06/27/2021
Last updated
06/27/2021
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