Individual
MRS. ALEXANDRA RENE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA, COBA
Contact information
Practice address
127 HARVARD PL., SOUTHGATE, KY 41071
(859) 443-6622
Mailing address
127 HARVARD PL., SOUTHGATE, KY 41071
(859) 443-6622
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
167338
KY
103K00000X
Behavior Analyst
256
OH
103K00000X
Behavior Analyst
COBA.256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-21799
BEHAVIOR ANALYST CERT
—
Enumeration date
05/24/2016
Last updated
01/31/2023
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