NPI 1184423808 · live from the CMS NPI Registry
Bluegrass Center For Autism
Behavior Technician in Louisville, KY. National Provider Identifier 1184423808, active.
NPI record
| NPI | 1184423808 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 9300 Cedar Center Way Ste 200, Louisville, KY 40291 |
| Practice phone | 502-473-7219 |
| Enumerated | March 13, 2025 |
| Last updated | March 13, 2025 |
| Authorized official | Jennifer Wilt, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.