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General NPI Number Information
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NPI Number | 1679289995
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF KENTUCKY CENTER FOR APPLIED BEHAVIORAL SUPPORTS
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1737 RUSSELL CAVE RD
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City | LEXINGTON
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State | KY
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Zip | 40505-1600
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Country | US
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Telephone | 859-562-2430
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Fax |
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Provider Business Mailing Address
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Address Line | 219 TAYLOR DR
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City | LEXINGTON
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State | KY
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Zip | 40511-2165
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Country | US
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Telephone | 571-305-3831
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KATHERINE LYNCH
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Credential | BCBA
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Telephone | 859-562-2430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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