| Dynamic Behavior Solutions, Llc | |
|
2325 Ridgewood Dr Madisonville KY 42431-9411 | |
| (270) 339-0127 | |
| Not Available |
| Full Name | Dynamic Behavior Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2325 Ridgewood Dr, Madisonville, Kentucky |
| Authorized Official Name and Position | Jodi Bauer (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2703390127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Behavior Solutions, Llc Po Box 1591 Madisonville KY 42431-0033 Ph: (270) 339-0127 | Dynamic Behavior Solutions, Llc 2325 Ridgewood Dr Madisonville KY 42431-9411 Ph: (270) 339-0127 |
| NPI Number | 1245628874 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245628874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0048 (Kentucky) | Primary |
| 103TC0700X | Psychologist - Clinical | 0108 (Kentucky) | Secondary |
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