Individual
CHRISTIAN CAROL SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 STRADER DR, LEXINGTON, KY 40505-4088
(859) 899-9200
Mailing address
3904 SUNDART DR, LEXINGTON, KY 40517-3861
(270) 670-9498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
252240
KY
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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