Individual
HALEY CHAR NIEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4830 BURLINGTON PIKE, BURLINGTON, KY 41005-8685
(859) 638-3387
Mailing address
4830 BURLINGTON PIKE, BURLINGTON, KY 41005-8685
(859) 638-3387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-358628
KY
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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