Individual
MS. JENNIFER MICHELLE CUNDIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
309 HURT ST APT 202, COLUMBIA, KY 42728-2303
(859) 230-0559
Mailing address
309 HURT ST APT 202, COLUMBIA, KY 42728-2303
(859) 230-0559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
271186
KY
103K00000X
Behavior Analyst
Primary
273596
KY
106S00000X
Behavior Technician
RBT-20-126360
KY
Other
Enumeration date
07/13/2020
Last updated
09/30/2021
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