Provider Demographics
NPI:1386368116
Name:SETTLES, VIRGINIA (RBT)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:
Last Name:SETTLES
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 1:317 KOEHLER DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-9388
Mailing Address - Country:US
Mailing Address - Phone:270-321-4198
Mailing Address - Fax:
Practice Address - Street 1:317 KOEHLER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-9388
Practice Address - Country:US
Practice Address - Phone:270-321-4198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician