| East Kentucky Aba | |
|
260 Homestead Estates Ln Tutor Key KY 41263-8748 | |
| (606) 792-1123 | |
| Not Available |
| Full Name | East Kentucky Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 260 Homestead Estates Ln, Tutor Key, Kentucky |
| Authorized Official Name and Position | Shana Kellie Green (CO-OWNER) |
| Authorized Official Contact | 6067921123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Kentucky Aba 260 Homestead Estates Ln Tutor Key KY 41263-8748 Ph: (606) 792-1123 | East Kentucky Aba 260 Homestead Estates Ln Tutor Key KY 41263-8748 Ph: (606) 792-1123 |
| NPI Number | 1942096524 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942096524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |