Individual
KARISSA O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 REGENCY RD STE 150, LEXINGTON, KY 40503-2921
(859) 224-0834
Mailing address
2520 REGENCY RD STE 150, LEXINGTON, KY 40503-2921
(859) 224-0834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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