| Premier Autism Services | |
|
312 S 4th St Ste 700 Louisville KY 40202-3046 | |
| (502) 305-5730 | |
| (502) 305-5740 |
| Full Name | Premier Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 312 S 4th St Ste 700, Louisville, Kentucky |
| Authorized Official Name and Position | Jason Hersko (OWNER) |
| Authorized Official Contact | 5023055730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Autism Services 211 Boulevard Of Americas Ste 402 Lakewood NJ 08701-4778 Ph: (502) 305-5730 | Premier Autism Services 312 S 4th St Ste 700 Louisville KY 40202-3046 Ph: (502) 305-5730 |
| NPI Number | 1346848314 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346848314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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