| Cba | |
|
800 W Woodlawn Ave Louisville KY 40215-2472 | |
| (502) 409-7181 | |
| (888) 450-0935 |
| Full Name | Cba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 800 W Woodlawn Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Jason Neel Simmons (PRESIDENT) |
| Authorized Official Contact | 2108657734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cba 800 W Woodlawn Ave Louisville KY 40215-2472 Ph: (502) 409-7181 | Cba 800 W Woodlawn Ave Louisville KY 40215-2472 Ph: (502) 409-7181 |
| NPI Number | 1922336924 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922336924 | NPI | - | NPPES |
| 7100343010 | Medicaid | KY |
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