Individual
ALI BENTLEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
202 FRANKFORT ST STE 103&104, VERSAILLES, KY 40383-1000
(502) 633-1007
(502) 805-1511
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
276129
KY
106S00000X
Behavior Technician
RBT-20-132935
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-57870
BCBA CERTIFICATE
—
Enumeration date
10/22/2020
Last updated
12/17/2024
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