Individual
TAYLOR WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(502) 633-1315
Mailing address
2390 WOODLAWN RD, SHELBYVILLE, KY 40065-9377
(502) 220-5432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
268793
KY
Other
Enumeration date
10/18/2019
Last updated
04/18/2024
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