Individual
KRYSTLE ELIZABETH POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
2427 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3980
(270) 936-7472
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
274641
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-18791
BCBA CERTIFICATE
—
Enumeration date
08/13/2015
Last updated
08/29/2023
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