| NPI | 1376818815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KELLER Owner/Psychologist 502-423-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-09-5130) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 1548) |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2020-05-26 |