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Individual

DR. CYNTHIA REINBOLD BLACKLEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., BCBA-D

Contact information

Practice address
114 S MAPLE ST, WINCHESTER, KY 40391-2085
(859) 224-0834
(859) 224-0882
Mailing address
114 S MAPLE ST, WINCHESTER, KY 40391-2085
(859) 224-0834
(859) 224-0882

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0043
KY
103K00000X
Behavior Analyst
Primary
100333
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100381930
KY
Enumeration date
01/19/2010
Last updated
11/10/2022
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