| A Difference Place, Llc | |
|
309 Hurt St Apt 202 Columbia KY 42728-2303 | |
| (859) 230-0559 | |
| Not Available |
| Full Name | A Difference Place, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 309 Hurt St Apt 202, Columbia, Kentucky |
| Authorized Official Name and Position | Jennifer Michelle Cundiff (OWNER) |
| Authorized Official Contact | 8592300559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Difference Place, Llc 309 Hurt St Apt 202 Columbia KY 42728-2303 Ph: (859) 230-0559 | A Difference Place, Llc 309 Hurt St Apt 202 Columbia KY 42728-2303 Ph: (859) 230-0559 |
| NPI Number | 1225896202 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225896202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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