Organization
BEAUTY AND THE BEHAVIOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DESTINY PIPPIN MA, BCBA, LBA (OWNER-BCBA)
(270) 535-8593
Entity
Organization
Contact information
Practice address
820 DANA CT, GLASGOW, KY 42141-8753
(270) 535-8593
Mailing address
820 DANA CT, GLASGOW, KY 42141-8753
(270) 535-8593
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396443750
AETNA BETTER HEALTH OF KY
KY
01
—
1396443750
HORIZON BCBS OF NEW JERSEY
NJ
01
—
1396443750
AETNA
—
05
—
7100881450
—
KY
Enumeration date
08/24/2023
Last updated
10/26/2023
Update your record
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