KHIRY SHAE MADDOX

BOWLING GREEN, KY
NPI1336619485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: KY  245478)
Enumeration Date2018-12-03
Last Update Date2021-10-12
Business Address
Mr. KHIRY SHAE MADDOX MEd, BCBA, LBA
2427 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3980
Phone number: 270-936-7472
Mailing Address
Mr. KHIRY SHAE MADDOX MEd, BCBA, LBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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