| Eastern Kentucky Aba Services | |
|
2995 Big Perry Rd Morehead KY 40351-8156 | |
| (606) 465-0786 | |
| Not Available |
| Full Name | Eastern Kentucky Aba Services |
|---|---|
| Speciality | Clinic/center |
| Location | 2995 Big Perry Rd, Morehead, Kentucky |
| Authorized Official Name and Position | Lori Rayburn-dehart (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6064650786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Kentucky Aba Services 2995 Big Perry Rd Morehead KY 40351-8156 Ph: (606) 465-0786 | Eastern Kentucky Aba Services 2995 Big Perry Rd Morehead KY 40351-8156 Ph: (606) 465-0786 |
| NPI Number | 1750949863 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750949863 | NPI | - | NPPES |
| 7100415390 | Medicaid | KY | |
| 168533 | Other | KY | LICENSED BEHAVIOR ANALYST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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