Stephanie Bailie

NPI #1417424953 in Madisonville, Kentucky

Provider Information

NPI Number: 1417424953
Entity Type: Individual
Name: Stephanie Bailie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 1, 2018
Last Updated: Jun 19, 2020

Practice Location

Address: 1081 THORNBERRY DR
City: Madisonville
State: Kentucky
ZIP Code: 42431-1672
Phone: (270) 702-4641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Technician	106S00000X	Primary

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