| Commonwealth Aba | |
|
1460 Cayton Rd Florence KY 41042-9358 | |
| (859) 620-0041 | |
| Not Available |
| Full Name | Commonwealth Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1460 Cayton Rd, Florence, Kentucky |
| Authorized Official Name and Position | Brett Blevins (OWNER) |
| Authorized Official Contact | 8596200041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Aba 1460 Cayton Rd Florence KY 41042-9358 Ph: (859) 620-0041 | Commonwealth Aba 1460 Cayton Rd Florence KY 41042-9358 Ph: (859) 620-0041 |
| NPI Number | 1215682356 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 05/16/2022 |
| Certification Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215682356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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