Individual
KAREISHA LYNN DERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
312 HURT ST UNIT C, COLUMBIA, KY 42728-2311
(859) 230-0559
Mailing address
305 TRABUE ST APT 231, COLUMBIA, KY 42728-1391
(270) 579-3472
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB878508
KY
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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