Icis Breann Powell
Icis Breann Powell is a Behavior Technician in Leitchfield, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2018
Practice location Address checks out
635 S Main St Ste BLeitchfield, KY 42754-1056
Phone: (270) 287-0656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (KY) |
|---|
Record details
| NPI number | 1427549922 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2018 |
| Last updated in NPPES | May 21, 2018 |
| Mailing address | 635 S Main St Ste B, Leitchfield, KY 42754-1056 |
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Jamie Mathis, RBT
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Sherry Lynn Vincent
635 S Main St Ste B, Leitchfield, KY 42754-1056 · (270) 287-0656