# KENTUCKY INTEGRATIVE AUTISM SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KY Integrative Autism & Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508645359
- **Authorized official:** TIFFANY BANKS APRN (NP)
- **Authorized official phone:** (859) 592-4992

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2023
- **Last updated:** 08/11/2026