Individual
HANNAH RYAN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(270) 352-1132
Mailing address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(502) 827-3402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-281889
KY
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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