Individual
MEGAN HAYCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS RBT
Contact information
Practice address
955 N WILSON RD STE G, RADCLIFF, KY 40160-1487
(502) 314-0671
Mailing address
9104 SEAFORTH DR, LOUISVILLE, KY 40258-1606
(502) 827-9411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-1979569
RBT CREDENTIAL NUMBER
—
Enumeration date
06/04/2019
Last updated
06/04/2019
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