Healthcare Provider Details

I. General information

NPI: 1568032753
Provider Name (Legal Business Name): REMY DEFILIPPO BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 DUDLEY PIKE
EDGEWOOD KY
41017-8120
US

IV. Provider business mailing address

2713 ERIE AVE APT 29
CINCINNATI OH
45208-2112
US

V. Phone/Fax

Practice location:
  • Phone: 859-360-3006
  • Fax:
Mailing address:
  • Phone: 865-399-3470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: