Organization
A DIFFERENCE PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MICHELLE CUNDIFF BCB A, LBA (OWNER)
(859) 230-0559
Entity
Organization
Contact information
Practice address
309 HURT ST APT 202, COLUMBIA, KY 42728-2303
(859) 230-0559
Mailing address
309 HURT ST APT 202, COLUMBIA, KY 42728-2303
(859) 230-0559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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