NPI 1003570607

Elizabeth Gardner, RBT

Practitioner Behavior Technician Bowling Green, KY

Practice location

Address: 2427 Russellville Rd, Bowling Green, KY 42101-3980
Phone: (270) 936-7472
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-21-190675 (KY)

Other Behavior Technician providers in Kentucky →

Registry record

NPI: 1003570607
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2021
Record last updated: 29 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.