| Minus Fifty-five Llc | |
|
104 W Pike St Ste 205 Covington KY 41011-2310 | |
| (859) 493-2962 | |
| Not Available |
| Full Name | Minus Fifty-five Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 104 W Pike St Ste 205, Covington, Kentucky |
| Authorized Official Name and Position | Sandra Geisen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8594932962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minus Fifty-five Llc 104 W Pike St Ste 205 Covington KY 41011-2310 Ph: (859) 493-2962 | Minus Fifty-five Llc 104 W Pike St Ste 205 Covington KY 41011-2310 Ph: (859) 493-2962 |
| NPI Number | 1578177531 |
|---|---|
| Provider Enumeration Date | 09/06/2020 |
| Last Update Date | 09/06/2020 |
| Certification Date | 09/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578177531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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