Organization
IGNITE THE STARS BEHAVIORAL INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA C WILSON BCBA, LBA (OWNER)
(859) 229-1328
Entity
Organization
Contact information
Practice address
861 ROGERS GAP RD, GEORGETOWN, KY 40324-8935
(859) 229-1328
Mailing address
861 ROGERS GAP RD, GEORGETOWN, KY 40324-8935
(859) 229-1328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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