| Buckeye Behavior Services, Llc. | |
|
3333 Dayton Xenia Rd Beavercreek OH 45432-2765 | |
| (937) 750-1054 | |
| Not Available |
| Full Name | Buckeye Behavior Services, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3333 Dayton Xenia Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Laura Lacy Kilgore (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 9377501054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Behavior Services, Llc. 5388 Weidner Rd Springboro OH 45066-7710 Ph: (937) 750-1054 | Buckeye Behavior Services, Llc. 3333 Dayton Xenia Rd Beavercreek OH 45432-2765 Ph: (937) 750-1054 |
| NPI Number | 1184142929 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184142929 | NPI | - | NPPES |
| 1003351826 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | COBA.320 (Ohio) | Primary |
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