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NPI Code Detail

MEDICARE: KATHERINE A HOUGH B.A.

MEDICARE: KATHERINE A HOUGH B.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1386985802
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE A HOUGH B.A.
Provider Business Mailing Address
First Line : 2505 LINDSAY AVE #16
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206
Country : US
Telephone Number : 502-439-5702
Fax Number :
Provider Business Practice Location Address
First Line : 3211 GRANT LINE RD STE 15
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-2175
Country : US
Telephone Number : 502-417-9830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2013
Last Update Date : 03/07/2013

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