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Organization

KENTUCKY INTEGRATIVE AUTISM SPECIALIST

Active
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Organization

KENTUCKY INTEGRATIVE AUTISM SPECIALIST

Active
Other names
KY Integrative Autism & Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY BANKS APRN (NP)
(859) 592-4992
Entity
Organization

Contact information

Practice address
3287 NORTH MIDDLETOWN RD, PARIS, KY 40361-2145
(859) 592-4992
(859) 788-6577
Mailing address
PO BOX 116, NORTH MIDDLETOWN, KY 40357-0116
(859) 592-4992

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—

Other

Enumeration date
09/21/2023
Last updated
08/11/2026
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