Individual
AMANDA J RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1035 STRADER DR STE 150, LEXINGTON, KY 40505-4090
(859) 899-9200
Mailing address
PO BOX 216, LEXINGTON, KY 40588-0216
(859) 421-4915
(859) 899-9202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KABALBLBA00211224
KY
103K00000X
Behavior Analyst
KY-2000
KY
103K00000X
Behavior Analyst
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Other
Enumeration date
10/21/2010
Last updated
04/25/2018
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