| Bluegrass Autism Services | |
|
4004 Riverside Dr Danville KY 40422-8604 | |
| (859) 516-2360 | |
| Not Available |
| Full Name | Bluegrass Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4004 Riverside Dr, Danville, Kentucky |
| Authorized Official Name and Position | Edward D Parker (CEO) |
| Authorized Official Contact | 8595162336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Autism Services 4004 Riverside Dr Danville KY 40422-8604 Ph: (859) 516-2360 | Bluegrass Autism Services 4004 Riverside Dr Danville KY 40422-8604 Ph: (859) 516-2360 |
| NPI Number | 1336421817 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 09/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336421817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 002 (Kentucky) | Primary |
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