Individual
HANNAH NICOLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(270) 699-5748
Mailing address
605 SAUNDERS SPRINGS WAY, LEXINGTON, KY 40511-2361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
289305
KY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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