Individual
KRISTAN PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 REARDON BLVD, BARDSTOWN, KY 40004-2034
(800) 701-0498
Mailing address
8476 S KY ROUTE 321 APT 2, HAGERHILL, KY 41222-8678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12583906
KY
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
04/13/2026
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