Jenna Applegate, RBT
Behavior Technician in Louisville, KY. Individual provider (NPI-1).
NPI number1164092466
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092466
- Entity type
- Individual (NPI-1)
- Name
- Jenna Applegate
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-173575 | KY | Yes |
Practice location
215 S Hurstbourne Pkwy Ste 213Louisville, KY 40222-4937
Phone 502-353-2074 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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