Individual
JOANNA RAE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1230 LIBERTY BANK LN STE 230, LOUISVILLE, KY 40222-5756
(855) 444-5664
Mailing address
3004 DALE ANN DR, LOUISVILLE, KY 40220-2513
(502) 938-6433
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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