Provider Demographics
NPI:1174341317
Name:STRICKLER, KY DUPREE (BCBA)
Entity type:Individual
Prefix:
First Name:KY
Middle Name:DUPREE
Last Name:STRICKLER
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 RICHLAND WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-5119
Mailing Address - Country:US
Mailing Address - Phone:530-410-7069
Mailing Address - Fax:
Practice Address - Street 1:1436 RICHLAND WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-5119
Practice Address - Country:US
Practice Address - Phone:530-410-7069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-23-67167103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst