Bluegrass Center For Autism | |
9810 Bluegrass Pkwy Louisville KY 40299-1906 | |
(502) 473-7219 | |
(502) 709-9892 |
Full Name | Bluegrass Center For Autism |
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Speciality | Behavior Analyst |
Location | 9810 Bluegrass Pkwy, Louisville, Kentucky |
Authorized Official Name and Position | Jennifer L Wilt (DIRECTOR) |
Authorized Official Contact | 5027199944 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bluegrass Center For Autism 1250 Bardstown Rd Ste 15 Louisville KY 40204-1333 Ph: (502) 618-3334 | Bluegrass Center For Autism 9810 Bluegrass Pkwy Louisville KY 40299-1906 Ph: (502) 473-7219 |
NPI Number | 1619366101 |
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Provider Enumeration Date | 01/21/2015 |
Last Update Date | 09/18/2020 |
Certification Date | 09/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619366101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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