Organization
BLUEGRASS ABA OUTPATIENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILYN BAKER (OWNER/MANAGER)
(606) 309-4982
Entity
Organization
Contact information
Practice address
202 W 7TH ST STE 203, LONDON, KY 40741-1763
(606) 309-4982
Mailing address
452 BRANNON MILL RD, LILY, KY 40740-3504
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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