Education For The Extraordinary Inc. | |
12993 Frogtown Connector Rd Walton KY 41094-8447 | |
(502) 889-6259 | |
Not Available |
Full Name | Education For The Extraordinary Inc. |
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Speciality | Community/behavioral Health |
Location | 12993 Frogtown Connector Rd, Walton, Kentucky |
Authorized Official Name and Position | Ashley M Henderson (EXECUTIVE DIRECTOR AND LEAD BCBA) |
Authorized Official Contact | 5028896259 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Education For The Extraordinary Inc. 12388 Sheppard Way Walton KY 41094-7839 Ph: (150) 288-9625 | Education For The Extraordinary Inc. 12993 Frogtown Connector Rd Walton KY 41094-8447 Ph: (502) 889-6259 |
NPI Number | 1215601414 |
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Provider Enumeration Date | 08/03/2021 |
Last Update Date | 08/03/2021 |
Certification Date | 08/03/2021 |
Identifier | Type | State | Issuer |
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1215601414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |