Individual
AMBERLY NICOLE RAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
811 NORTHGATE BLVD, NEW ALBANY, IN 47150-6419
(502) 409-7181
(888) 450-0935
Mailing address
800 W WOODLAWN AVE, LOUISVILLE, KY 40215-2472
(502) 409-7181
(888) 450-0935
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57891
IN
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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