Organization
BLUEGRASS CENTER FOR AUTISM
Active
Parent organization
BLUEGRASS CENTER FOR AUTISM
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUEGRASS CENTER FOR AUTISM
Authorized official
JENNIFER L WILT (BILLING DIRECTOR)
(502) 443-3836
Entity
Organization
Contact information
Practice address
1405 E BURNETT AVE, LOUISVILLE, KY 40217-1577
(502) 473-7219
(502) 709-9892
Mailing address
1405 E BURNETT AVE, LOUISVILLE, KY 40217-1577
(502) 473-7219
(502) 709-9892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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