| Anna Behavioral Services, LLC | |
|
3105 Halls Hill Rd Crestwood KY 40014-9523 | |
| (502) 777-2397 | |
| (502) 808-6024 |
| Full Name | Anna Behavioral Services, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3105 Halls Hill Rd, Crestwood, Kentucky |
| Authorized Official Name and Position | Samantha Lewis (OWNER) |
| Authorized Official Contact | 5027772397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Behavioral Services, LLC 2100 Liberty Rd Lexington KY 40509-4319 Ph: (502) 777-2397 | Anna Behavioral Services, LLC 3105 Halls Hill Rd Crestwood KY 40014-9523 Ph: (502) 777-2397 |
| NPI Number | 1609385236 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609385236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 165432 (Kentucky) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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