| Amy Rock Llc | |
|
4010 Dupont Cir Ste 307 Louisville KY 40207 | |
| (502) 435-7191 | |
| Not Available |
| Full Name | Amy Rock Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4010 Dupont Cir Ste 307, Louisville, Kentucky |
| Authorized Official Name and Position | Amy Rock (OWNER) |
| Authorized Official Contact | 5024357191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Rock Llc 4010 Dupont Cir Ste 307 Louisville KY 40207-4881 Ph: (502) 435-7191 | Amy Rock Llc 4010 Dupont Cir Ste 307 Louisville KY 40207 Ph: (502) 435-7191 |
| NPI Number | 1467918664 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467918664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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