| Walden Behavior Solutions, Llc | |
|
9900 Shelbyville Rd Ste 8 Louisville KY 40223-2965 | |
| (502) 915-8796 | |
| (502) 805-0765 |
| Full Name | Walden Behavior Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9900 Shelbyville Rd Ste 8, Louisville, Kentucky |
| Authorized Official Name and Position | Katie Sias Wilkinson (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5029158796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walden Behavior Solutions, Llc 9900 Shelbyville Rd Ste 8 Louisville KY 40223-2965 Ph: (502) 915-8796 | Walden Behavior Solutions, Llc 9900 Shelbyville Rd Ste 8 Louisville KY 40223-2965 Ph: (502) 915-8796 |
| NPI Number | 1568851889 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568851889 | NPI | - | NPPES |
| 7100338500 | Medicaid | KY | |
| 7100455710 | Other | KY | SCL MEDICAID WAIVER |
| 7100467300 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 101584 (Kentucky) | Primary |
| 251S00000X | Community/behavioral Health | 0906666 (Kentucky) | Secondary |
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