Healthcare Provider Details

I. General information

NPI: 1831494715
Provider Name (Legal Business Name): MARY ANGELA ARBAUGH LMFT, LBA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1838 S PRESTON HWY
SHEPHERDSVILLE KY
40165-5465
US

IV. Provider business mailing address

1838 S PRESTON HWY
SHEPHERDSVILLE KY
40165-5465
US

V. Phone/Fax

Practice location:
  • Phone: 502-468-4640
  • Fax: 502-308-4552
Mailing address:
  • Phone: 502-468-4640
  • Fax: 502-308-4552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number106710
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number164239
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: