| To The Max Behavior Therapy, Llc | |
|
4225 Benttree Dr Owensboro KY 42301-8669 | |
| (270) 240-2846 | |
| (270) 246-9762 |
| Full Name | To The Max Behavior Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4225 Benttree Dr, Owensboro, Kentucky |
| Authorized Official Name and Position | Nisa F Harper (ADMIN ASST) |
| Authorized Official Contact | 2703163487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| To The Max Behavior Therapy, Llc 4225 Benttree Dr Owensboro KY 42301-8669 Ph: () - | To The Max Behavior Therapy, Llc 4225 Benttree Dr Owensboro KY 42301-8669 Ph: (270) 240-2846 |
| NPI Number | 1376296392 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376296392 | NPI | - | NPPES |
| 7100461110 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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