Healthcare Provider Details

I. General information

NPI: 1841859766
Provider Name (Legal Business Name): ARMINA JO HOECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARMINA OPELL

II. Dates (important events)

Enumeration Date: 06/13/2019
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KID SPOT CENTER 200 TOWER CIRCLE
SOMERSET KY
42503
US

IV. Provider business mailing address

50 GENE CASH RD
CAMPBELLSVILLE KY
42718-4908
US

V. Phone/Fax

Practice location:
  • Phone: 606-416-5139
  • Fax:
Mailing address:
  • Phone: 270-465-7768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: