Blair, Amy Jo
Blair, Amy Jo is an individual health care provider with primary practice located at 925 Dudley Pike , Edgewood KY 41017-8120. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Blair, Amy Jo can be contacted via phone (859) 360-3006.Contact Information
Primary practice address
925 Dudley Pike
Edgewood KY 41017-8120
Phone: (859) 360-3006
Fax: (859) 360-3053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-19-34840 |
Profile Details
| NPI number | 1023667284 |
|---|---|
| LBN Legal business name | Blair, Amy Jo |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2019 |
| Last updated | Sep 10th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023667284 | NPPES |
| Kentucky | MEDICAID | 1952840860 |
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