Blaire Kidwell, RBT

NPI #1003581810 in Louisville, Kentucky

Provider Information

NPI Number: 1003581810
Entity Type: Individual
Name: Blaire Kidwell, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Aug 13, 2021
Last Updated: Aug 13, 2021

Practice Location

Address: 215 S HURSTBOURNE PKWY STE 213
City: Louisville
State: Kentucky
ZIP Code: 40222-4937
Phone: (502) 353-2074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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