Individual
JULIE ARYN TEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
907 LYNDON LN, LOUISVILLE, KY 40222-3815
(502) 777-2397
(502) 808-6024
Mailing address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(502) 777-2397
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
272717
KY
103K00000X
Behavior Analyst
3538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KY-7100771270
—
KY
Enumeration date
02/04/2019
Last updated
10/24/2022
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