Individual
KRISTEN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 MARKET ST, HENDERSON, KY 42420-4855
(270) 827-4652
(270) 831-1182
Mailing address
1040 MARKET ST, HENDERSON, KY 42420-4855
(270) 827-4652
(270) 831-1182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1000
KY
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7100174590
SCL WAIVER
KY
05
—
7100215710
—
KY
Enumeration date
01/20/2011
Last updated
11/05/2013
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