| Kentuckiana Aba Llc | |
|
883 Pinkney Drive Lexington KY 40504 | |
| (859) 334-0683 | |
| Not Available |
| Full Name | Kentuckiana Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 883 Pinkney Drive, Lexington, Kentucky |
| Authorized Official Name and Position | Jane Detoma (OWNER) |
| Authorized Official Contact | 8593340683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckiana Aba Llc 1795 Alysheba Way Ste 7202 Pmb 974649 Lexington KY 40509 Ph: (859) 334-0683 | Kentuckiana Aba Llc 883 Pinkney Drive Lexington KY 40504 Ph: (859) 334-0683 |
| NPI Number | 1265364426 |
|---|---|
| Provider Enumeration Date | 06/02/2026 |
| Last Update Date | 06/02/2026 |
| Certification Date | 05/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265364426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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