Organization
BUCKEYE BEHAVIOR SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA LACY KILGORE BCBA-D, COBA, PH.D. (EXECUTIVE DIRECTOR/OWNER)
(937) 750-1054
Entity
Organization
Contact information
Practice address
3333 DAYTON XENIA RD, BEAVERCREEK, OH 45432-2765
(937) 750-1054
Mailing address
5388 WEIDNER RD, SPRINGBORO, OH 45066-7710
(937) 750-1054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.320
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003351826
—
OH
Enumeration date
08/31/2017
Last updated
07/21/2022
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