Individual
GARY PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 VOLUNTEER DR, SOMERSET, KY 42501-1911
(606) 872-7283
Mailing address
111 VOLUNTEER DR, SOMERSET, KY 42501-1911
(606) 872-7283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-144225
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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