Individual
MISS TARA MARIE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
128 FAIRLAWN AVE, LEXINGTON, KY 40505-3224
(859) 608-6368
Mailing address
PO BOX 1778, LEXINGTON, KY 40588-1778
(859) 608-6368
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-11-4234
KY
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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