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Organization

BLUEGRASS BEHAVIOR SOLUTIONS, LLC

Active
Other names
Bluegrass Community Supports
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD D PARKER PHD, BCBA-D (CEO)
(859) 516-2360
Entity
Organization

Contact information

Practice address
151 PROSPEROUS PL, SUITE 1B, LEXINGTON, KY 40509-2180
(859) 516-2360
(859) 587-9710
Mailing address
PO BOX 1673, DANVILLE, KY 40423-1673

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KY-0002
KY

Other

Enumeration date
02/09/2015
Last updated
02/09/2015
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