Kentuckiana Behavior Therapy Pllc
NPI #1659881282 in Jeffersonville, Indiana
Provider Information
- NPI Number
- 1659881282
- Entity Type
- Organization
- Organization Name
- Kentuckiana Behavior Therapy Pllc
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 10, 2017
- Last Updated
- Oct 10, 2017
Practice Location
- Address
- 5502 CHARLESTOWN PIKE
- City
- Jeffersonville
- State
- Indiana
- ZIP Code
- 47130-8755
- Phone
- (502) 554-1900
Authorized Official
- Name
- MR. MICHAEL T O'BRIEN
- Title
- BEHAVIOR ANALYST
- Phone
- (502) 554-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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