Possibility Place PSC

Organization Active NPI Behavior Analyst · Vine Grove, KY

NPI 1225334337 · NPPES record last updated Feb 7, 2011

Key facts

NPI
1225334337
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
License
1095557 (FL)
Legal business name
POSSIBILITY PLACE PSC
Practice address
56 Cambridge CT
Vine Grove, KY 40175-5100
Phone
(270) 501-0858
Fax
(270) 828-8051
NPI assigned
Feb 7, 2011
Organization subpart
No

Authorized official

Name
Michael Trotta
Title
President
Phone
(270) 501-0858

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X 1095557 FL Yes

Addresses

Primary practice location

56 Cambridge CT
Vine Grove, KY 40175-5100

Mailing address

56 Cambridge CT
Vine Grove, KY 40175-5100
Phone (270) 501-0858

Other providers in Vine Grove, KY

All providers in Vine Grove, KY · Behavior Analyst in Kentucky

Sources for this page

Verify at the official NPI Registry.