Individual
ERIN NIKESHIA BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RBT
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(855) 253-1686
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(855) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
KY
106S00000X
Behavior Technician
RBT-19-86819
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-86819
RBT CERTIFICATE
—
Enumeration date
06/04/2019
Last updated
09/22/2020
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