Individual
KEILE ELIZABETH NALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
292 S 2ND ST, RICHMOND, KY 40475-2102
(859) 353-5505
Mailing address
292 S 2ND ST, RICHMOND, KY 40475-2102
(859) 353-5505
(833) 799-3656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
289485
KY
106S00000X
Behavior Technician
RBT-21-170572
KY
Other
Enumeration date
07/13/2021
Last updated
12/20/2023
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