NPI 1083265763 · live from the CMS NPI Registry
B Squared Behavior Analysis, LLC
Behavior Analyst in Berea, KY. National Provider Identifier 1083265763, active.
NPI record
| NPI | 1083265763 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1126 Breezy Ln, Berea, KY 40403 |
| Practice phone | 606-875-1420 |
| Enumerated | September 24, 2019 |
| Last updated | September 6, 2023 |
| Authorized official | Benjamin Davis, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.