Healthcare Provider Details

I. General information

NPI: 1063864833
Provider Name (Legal Business Name): KUHN BEHAVIORAL CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 ALPINE DR
GILLETTE WY
82718-8844
US

IV. Provider business mailing address

120 ALPINE DR
GILLETTE WY
82718-8844
US

V. Phone/Fax

Practice location:
  • Phone: 877-584-6227
  • Fax:
Mailing address:
  • Phone: 412-582-0296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number16
License Number StateHI

VIII. Authorized Official

Name: MRS. STACEY ERIN KUHN
Title or Position: OWNER
Credential: BCBA
Phone: 412-582-0296