Organization
PEDIATRIC ABA AND AUTISM SUPPORTS OF NORTHERN KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA DANIELS BCBA, LBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(859) 443-6622
Entity
Organization
Contact information
Practice address
42 OVERLOOK DR, FORT THOMAS, KY 41075-1860
(859) 443-6622
Mailing address
42 OVERLOOK DR, FORT THOMAS, KY 41075-1860
(859) 443-6622
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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