Individual
GLADYS WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2520 REGENCY RD # 150, LEXINGTON, KY 40503-2921
(859) 224-0834
Mailing address
1087 MERRICK DR, LEXINGTON, KY 40502-3706
(606) 207-4852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-50643
KY
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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