Healthcare Provider Details

I. General information

NPI: 1376106484
Provider Name (Legal Business Name): DANA MCCARTHY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 RED HOUSE RD
RICHMOND KY
40475-9326
US

IV. Provider business mailing address

601 HUNTER LN
RICHMOND KY
40475-9289
US

V. Phone/Fax

Practice location:
  • Phone: 859-353-5505
  • Fax: 833-799-3656
Mailing address:
  • Phone: 859-314-4158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number248170
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: