Individual
DEREK POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 NEVILLE DR, LOUISVILLE, KY 40216-3820
(502) 203-1396
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-309817
KY
Other
Enumeration date
09/18/2023
Last updated
11/13/2023
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