Individual
RANDI JEAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
20 HAWKS LNDG, LEITCHFIELD, KY 42754-8238
(270) 589-0743
Mailing address
20 HAWKS LNDG, LEITCHFIELD, KY 42754-8238
(270) 589-0743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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