Provider Demographics
NPI:1275200776
Name:LEFLER, CHLOE (RBT)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:LEFLER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 HALLS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-9523
Mailing Address - Country:US
Mailing Address - Phone:502-777-2397
Mailing Address - Fax:502-808-6024
Practice Address - Street 1:3105 HALLS HILL RD
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-9523
Practice Address - Country:US
Practice Address - Phone:502-777-2397
Practice Address - Fax:502-808-6024
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
INRBT-19-96384OtherRBT