Organization
BLUEGRASS CENTER FOR AUTISM
Active
Parent organization
BLUEGRASS CENTER FOR AUTISM
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUEGRASS CENTER FOR AUTISM
Authorized official
JENNIFER L WILT (DIRECTOR)
(502) 443-3836
Entity
Organization
Contact information
Practice address
9300 CEDAR CENTER WAY STE 200, LOUISVILLE, KY 40291-4522
(502) 473-7219
(502) 709-9892
Mailing address
9300 CEDAR CENTER WAY STE 200, LOUISVILLE, KY 40291-4522
(502) 473-7219
(502) 709-9892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100700160
—
KY
Enumeration date
03/13/2025
Last updated
03/13/2025
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