Organization
STEPHENS BEHAVIOR CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE STEPHENS BCBA, LBA (EXECUTIVE DIRECTOR)
(502) 633-1315
Entity
Organization
Contact information
Practice address
320 MAIN ST, SHELBYVILLE, KY 40065-1026
(502) 633-1315
(502) 633-1316
Mailing address
PO BOX 516, SHELBYVILLE, KY 40066-0516
(502) 633-1315
(502) 633-1316
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1519
KY
251S00000X
Community/Behavioral Health Agency
Primary
KY-0060
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100250830
—
KY
Enumeration date
11/26/2014
Last updated
11/26/2014
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