| KB Behavioral LLC | |
|
129 Lookout Ct Bardstown KY 40004-9293 | |
| (502) 507-0933 | |
| Not Available |
| Full Name | KB Behavioral LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 129 Lookout Ct, Bardstown, Kentucky |
| Authorized Official Name and Position | Kelli Bruington (CEO/FOUNDER) |
| Authorized Official Contact | 5025070933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| KB Behavioral LLC 129 Lookout Ct Bardstown KY 40004-9293 | KB Behavioral LLC 129 Lookout Ct Bardstown KY 40004-9293 Ph: (502) 507-0933 |
| NPI Number | 1497616908 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497616908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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