Lance Adams

Individual provider Active NPI Behavior Analyst · Mount Washington, KY

NPI 1588038632 · NPPES record last updated Nov 29, 2015

Key facts

NPI
1588038632
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
411 Cornell Ave
Mount Washington, KY 40047-6625
Phone
(502) 523-5720
NPI assigned
Nov 29, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

411 Cornell Ave
Mount Washington, KY 40047-6625

Mailing address

411 Cornell Ave
Mount Washington, KY 40047-6625
Phone (502) 523-5720

Other providers in Mount Washington, KY

All providers in Mount Washington, KY · Behavior Analyst in Kentucky

Sources for this page

Verify at the official NPI Registry.