NPI 1952840860 · live from the CMS NPI Registry
Bluegrass Behavioral Health Group, LLC
Behavior Analyst in Edgewood, KY. National Provider Identifier 1952840860, active.
NPI record
| NPI | 1952840860 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 925 Dudley Pike, Edgewood, KY 41017 |
| Practice phone | 859-360-3006 |
| Mailing address | 12600 Hill Country Blvd Ste R-100, Bee Cave, TX 78738 |
| Enumerated | February 13, 2017 |
| Last updated | May 4, 2021 |
| Authorized official | Jonathon Curlett, Cfo |
| Other names | Cultivate Behavioral Health And Education |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Community/Behavioral Health | 251S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.