Most Relevant Information
Provider Data
| NPI Number: | 1003691577 |
| Provider Name: | SKYE KANTA JAMISON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2023 |
| Last Updated: | 08/31/2023 |
Provider Practice Location
3580 HARGRAVE CT
HEBRON
KY
410486900
Practice Location Phone/Fax
| Phone: | 8596547365 |
| Fax: |
Provider Mailing Location
3430 CINTONYA DR APT 173
ERLANGER
KY
410181444
Provider Mailing Phone/Fax
| Phone: | 3033190706 |
| Fax: |