Most Relevant Information
Provider Data
| NPI Number: | 1003568163 |
| Provider Name: | SAVANNAH DEESE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/20/2022 |
| Last Updated: | 01/20/2022 |
Provider Practice Location
6201 BENTON RD
PADUCAH
KY
420031304
Practice Location Phone/Fax
| Phone: | 2709080461 |
| Fax: | 2703660780 |
Provider Mailing Location
6201 BENTON RD
PADUCAH
KY
420031304
Provider Mailing Phone/Fax
| Phone: | 2709080461 |
| Fax: | 2703660780 |