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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GOLDMAN BCBA (OWNER)
(502) 558-1382
Entity
Organization

Contact information

Practice address
3019 WICKLAND RD, LOUISVILLE, KY 40205-2769
(502) 558-1382
Mailing address
3019 WICKLAND RD, LOUISVILLE, KY 40205-2769
(502) 558-1382

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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