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Individual

MRS. ASIOHBAN SHAVAY WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
805 ALEXA DR STE D, MT STERLING, KY 40353-1000
(859) 444-5664
Mailing address
805 ALEXA DR STE D, MT STERLING, KY 40353-1000
(859) 444-5664

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71697
KY

Other

Enumeration date
04/26/2021
Last updated
01/02/2025
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