Provider Demographics
NPI:1881314128
Name:KERR, VICTORIA MICHELLE (RBT)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MICHELLE
Last Name:KERR
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:MICHELLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2824 SUNBEAM RD
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42754-7721
Mailing Address - Country:US
Mailing Address - Phone:270-200-3724
Mailing Address - Fax:
Practice Address - Street 1:31 COLLARD LN
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-4899
Practice Address - Country:US
Practice Address - Phone:270-200-3724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYRBT-21-185893106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician