Individual
PIERCE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6435 W HIGHWAY 146, CRESTWOOD, KY 40014-8502
(502) 709-5473
Mailing address
6435 W HIGHWAY 146, CRESTWOOD, KY 40014-8502
(859) 899-9200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
293335
KY
106S00000X
Behavior Technician
RBT-20-116459
KY
Other
Enumeration date
10/01/2020
Last updated
09/04/2024
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