Individual
SHYONA DENISE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 FORTUNE DR STE 195, LEXINGTON, KY 40509-4261
(859) 899-9200
Mailing address
125 MAY CT, NICHOLASVILLE, KY 40356-2441
(859) 354-6980
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
09/30/2024
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