| Essential Behavior Inc. | |
|
705 Wakefield St Bowling Green KY 42103-1552 | |
| (270) 935-5119 | |
| (270) 935-5109 |
| Full Name | Essential Behavior Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 705 Wakefield St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Carrie L Pritchard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2703032098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Behavior Inc. 705 Wakefield St Bowling Green KY 42103-1552 Ph: (270) 935-5119 | Essential Behavior Inc. 705 Wakefield St Bowling Green KY 42103-1552 Ph: (270) 935-5119 |
| NPI Number | 1194491571 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194491571 | NPI | - | NPPES |
| 1669860169 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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