Bluegrass Community Supports | |
151 Prosperous Pl Suite 1b Lexington KY 40509-2180 | |
(859) 516-2360 | |
(859) 587-9710 |
Full Name | Bluegrass Community Supports |
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Speciality | Behavior Analyst |
Location | 151 Prosperous Pl, Lexington, Kentucky |
Authorized Official Name and Position | Edward D Parker (CEO) |
Authorized Official Contact | 8595162360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bluegrass Community Supports Po Box 1673 Danville KY 40423-1673 Ph: () - | Bluegrass Community Supports 151 Prosperous Pl Suite 1b Lexington KY 40509-2180 Ph: (859) 516-2360 |
NPI Number | 1922499201 |
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Provider Enumeration Date | 02/09/2015 |
Last Update Date | 02/09/2015 |
Identifier | Type | State | Issuer |
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1922499201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | KY-0002 (Kentucky) | Primary |
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