East Kentucky Aba | |
260 Homestead Estates Ln Tutor Key KY 41263-8748 | |
(606) 792-1123 | |
Not Available |
Full Name | East Kentucky Aba |
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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 |
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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 |
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Provider Enumeration Date | 04/18/2025 |
Last Update Date | 04/18/2025 |
Certification Date | 04/18/2025 |
Identifier | Type | State | Issuer |
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1942096524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |