Organization
EAST KENTUCKY ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANA KELLIE GREEN (CO-OWNER)
(606) 792-1123
Entity
Organization
Contact information
Practice address
260 HOMESTEAD ESTATES LN, TUTOR KEY, KY 41263-8748
(606) 792-1123
Mailing address
260 HOMESTEAD ESTATES LN, TUTOR KEY, KY 41263-8748
(606) 792-1123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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