Dombrosky, Kylie Rae

Dombrosky, Kylie Rae is an individual health care provider with primary practice located at 3761 Johnson Hall Dr , Masonic Home KY 40041-9998. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Dombrosky, Kylie Rae can be contacted via phone (502) 633-1007.

Contact Information

Primary practice address
3761 Johnson Hall Dr Masonic Home KY 40041-9998
Phone: (502) 633-1007
Fax: (502) 805-1511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-99776 Kentucky
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 271493 Kentucky

Profile Details

NPI number 1215544481
LBN Legal business name Dombrosky, Kylie Rae
Credentials MED, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2020
Last updated Oct 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215544481 NPPES
Other 1-21-50514 BCBA CERTIFICATE

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