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Easter Seals West Kentucky, Inc.

Organization Active NPI Behavior Analyst · Paducah, KY

NPI 1720123870 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1720123870
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
EASTER SEALS WEST KENTUCKY, INC.
Practice address
619 N 30TH St
Paducah, KY 42001-4047
Phone
(270) 444-9687
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

Name
Lee Henry
Title
Operations Manager
Phone
(270) 444-7898

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Easter Seals West Kentucky (4 organizations share this tax ID)

Locations

619 N 30th St
Paducah, KY 42001
Phone (270) 444-7898

801 N 29th St
Paducah, KY 42001
Phone (270) 443-1200

1908 N 14th St
Paducah, KY 42001
Phone (270) 443-1200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 101YP2500X
Behavior Analyst
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 103K00000X Yes
Local Education Agency (LEA) 251300000X
Medically Fragile Infants and Children Day Care 261QM3000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

619 N 30TH St
Paducah, KY 42001-4047

Mailing address

801 N 29TH St
Paducah, KY 42001-4056

Other practice location 1

801 N 29th St
Paducah, KY 42001-4056
Phone (270) 444-9687

Other practice location 2

1908 N 14th St
Paducah, KY 42001-2439
Phone (270) 443-1200

Other identifiers

IdentifierTypeStateIssuer
45229952OtherKYEPSDT
45229952MedicaidKY

Other providers in Paducah, KY

All providers in Paducah, KY · Behavior Analyst in Kentucky

Sources for this page

Verify at the official NPI Registry.