Individual
AMY JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
4512 MEADOWLARK MANOR DR, LOUISVILLE, KY 40245
(502) 689-2278
Mailing address
4512 MEADOWLARK MANOR LN, LOUISVILLE, KY 40245-2702
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
264596
KY
106E00000X
Assistant Behavior Analyst
174292
KY
Other
Enumeration date
08/28/2017
Last updated
05/21/2021
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