Individual
VICTORIA STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. S., BCBA, LBA
Contact information
Practice address
836 EUCLID AVE STE 200, LEXINGTON, KY 40502-1972
(606) 677-2636
Mailing address
836 EUCLID AVE STE 200, LEXINGTON, KY 40502-1972
(606) 677-2636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
290744
KY
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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