Most Relevant Information
Provider Data
| NPI Number: | 1003488784 |
| Provider Name: | GENEVA FRIEND |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-17-35208 |
Most Important Dates
| Enumeration Date: | 07/13/2021 |
| Last Updated: | 07/13/2021 |
Provider Practice Location
408 MICHELLE CT
RICHMOND
KY
404758449
Practice Location Phone/Fax
| Phone: | 8599403510 |
| Fax: |
Provider Mailing Location
408 MICHELLE CT
RICHMOND
KY
404758449
Provider Mailing Phone/Fax
| Phone: | 8599403510 |
| Fax: |