Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cerise Elise Bouchard, CLC

Individual provider Developmental Therapist · NPI 1407152234

Cerise Elise Bouchard, CLC is a Developmental Therapist in Lexington, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2011
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Practice location Address checks out

1733 Brook Park Dr
Lexington, KY 40515-1306
Phone: (859) 576-1062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 201197964 (KY)

Record details

NPI number1407152234
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLC
Sole proprietorYes
NPI enumeratedJanuary 26, 2011
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

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