Individual
COURTNEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
67 JACKS LN, SOMERSET, KY 42501-6152
(606) 425-4371
Mailing address
103 REBEL DR, SOMERSET, KY 42501-1910
(606) 416-2113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
281778
KY
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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