| To The Max Behavior Therapy | |
|
905 Griffith Avenue Owensboro KY 42301 | |
| (270) 315-7823 | |
| Not Available |
| Full Name | To The Max Behavior Therapy |
|---|---|
| Speciality | Behavior Technician |
| Location | 905 Griffith Avenue, Owensboro, Kentucky |
| Authorized Official Name and Position | William Kevin Thompson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2709937476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| To The Max Behavior Therapy 905 Griffith Ave Owensboro KY 42301-3603 Ph: (270) 315-7823 | To The Max Behavior Therapy 905 Griffith Avenue Owensboro KY 42301 Ph: (270) 315-7823 |
| NPI Number | 1124558002 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124558002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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