NPI 1326818717

Jordan Kendall, RBT

Practitioner Behavior Technician Leitchfield, KY

Practice location

Address: 635 S Main St Suite B, Leitchfield, KY 42754-1056
Phone: (270) 287-0656
Mailing address: 635 S Main St STE B, Leitchfield, KY 42754-1056

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-232-97071 (KY)

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Registry record

NPI: 1326818717
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2024
Record last updated: 14 Feb 2024

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.