Organization
MINUS FIFTY-FIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GEISEN (EXECUTIVE DIRECTOR)
(859) 493-2962
Entity
Organization
Contact information
Practice address
104 W PIKE ST STE 205, COVINGTON, KY 41011-2310
(859) 493-2962
Mailing address
104 W PIKE ST STE 205, COVINGTON, KY 41011-2310
(859) 493-2962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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