Individual
KAYLA BROOKE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
390 GIVENS LN, EASTVIEW, KY 42732-9714
(270) 734-5957
Mailing address
7492 PRESSLER GRV APT C, FORT KNOX, KY 40121-2255
(270) 734-5957
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
285465
KY
Other
Enumeration date
08/30/2021
Last updated
07/03/2024
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