| B Squared Behavior Analysis, Llc | |
|
1126 Breezy Ln Berea KY 40403-8659 | |
| (606) 875-1420 | |
| Not Available |
| Full Name | B Squared Behavior Analysis, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1126 Breezy Ln, Berea, Kentucky |
| Authorized Official Name and Position | Benjamin Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6068751420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B Squared Behavior Analysis, Llc 1126 Breezy Ln Berea KY 40403-8659 Ph: (606) 875-1420 | B Squared Behavior Analysis, Llc 1126 Breezy Ln Berea KY 40403-8659 Ph: (606) 875-1420 |
| NPI Number | 1083265763 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083265763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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