Leann Nicole Matheny

NPI #1306324504 in Radcliff, Kentucky

Provider Information

NPI Number: 1306324504
Entity Type: Individual
Name: Leann Nicole Matheny
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2018
Last Updated: Jul 31, 2018

Practice Location

Address: 363 W LINCOLN TRAIL BLVD
City: Radcliff
State: Kentucky
ZIP Code: 40160
Phone: (270) 352-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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