Organization
ACCELERATE BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILLIAN MICHAEL HUMPHREY BCBA (BEHAVIOR ANALYST)
(270) 285-2265
Entity
Organization
Contact information
Practice address
202 S MORGAN ST, MORGANFIELD, KY 42437-1728
(270) 285-2265
Mailing address
202 S MORGAN ST, MORGANFIELD, KY 42437-1728
(270) 285-2265
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100918990
—
KY
Enumeration date
11/08/2022
Last updated
09/20/2023
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