Provider Demographics
NPI:1205064508
Name:HALL, KAREN (BCBA, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:BCBA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-3005
Mailing Address - Country:US
Mailing Address - Phone:502-386-9619
Mailing Address - Fax:
Practice Address - Street 1:3001 LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-3005
Practice Address - Country:US
Practice Address - Phone:502-386-9619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-08-4361103K00000X
KY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst