Individual
LYLA HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1048 ASHLEY ST STE 101, BOWLING GREEN, KY 42103-2449
(270) 843-5300
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-162651
KY
Other
Enumeration date
04/06/2021
Last updated
02/11/2022
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