Organization
DYNAMIC BEHAVIOR SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI BAUER M.A. (BOARD CERTIFIED BEHAVIOR ANALYST)
(270) 339-0127
Entity
Organization
Contact information
Practice address
2325 RIDGEWOOD DR, MADISONVILLE, KY 42431-9411
(270) 339-0127
Mailing address
PO BOX 1591, MADISONVILLE, KY 42431-0033
(270) 339-0127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0048
KY
103TC0700X
Clinical Psychologist
0108
KY
Other
Enumeration date
01/05/2015
Last updated
01/20/2015
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