Individual
BRITTANY ELLYCE WALETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
800 W WOODLAWN AVE, LOUISVILLE, KY 40215-2472
(502) 409-7181
(888) 450-0935
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
273867
KY
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
07/20/2010
Last updated
11/05/2021
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