| Education For The Extraordinary Inc. | |
|
12993 Frogtown Connector Rd Walton KY 41094-8447 | |
| (502) 889-6259 | |
| Not Available |
| Full Name | Education For The Extraordinary Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12993 Frogtown Connector Rd, Walton, Kentucky |
| Authorized Official Name and Position | Ashley M Henderson (EXECUTIVE DIRECTOR AND LEAD BCBA) |
| Authorized Official Contact | 5028896259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Education For The Extraordinary Inc. 12388 Sheppard Way Walton KY 41094-7839 Ph: (150) 288-9625 | Education For The Extraordinary Inc. 12993 Frogtown Connector Rd Walton KY 41094-8447 Ph: (502) 889-6259 |
| NPI Number | 1215601414 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215601414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |