NPI 1225896202 · live from the CMS NPI Registry
A Difference Place, LLC
Behavior Analyst in Columbia, KY. National Provider Identifier 1225896202, active.
NPI record
| NPI | 1225896202 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 309 Hurt St Apt 202, Columbia, KY 42728 |
| Practice phone | 859-230-0559 |
| Enumerated | March 13, 2024 |
| Last updated | March 13, 2024 |
| Authorized official | Jennifer Cundiff, Owner |
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.