Organization
BLUEGRASS CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L WILT (DIRECTOR)
(502) 719-9944
Entity
Organization
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 473-7219
(502) 709-9892
Mailing address
1250 BARDSTOWN RD, STE 15, LOUISVILLE, KY 40204-1333
(502) 618-3334
(502) 709-9892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
09/18/2020
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