Individual
KATELYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1250 BARDSTOWN RD STE 15, LOUISVILLE, KY 40204-1333
(502) 618-3334
(502) 709-9892
Mailing address
1250 BARDSTOWN RD STE 15, LOUISVILLE, KY 40204-1333
(502) 618-3334
(502) 709-9892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
243621
KY
106E00000X
Assistant Behavior Analyst
175231
KY
Other
Enumeration date
11/27/2017
Last updated
10/01/2020
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