Provider Demographics
NPI:1679289995
Name:UNIVERSITY OF KENTUCKY CENTER FOR APPLIED BEHAVIORAL SUPPORTS
Entity type:Organization
Organization Name:UNIVERSITY OF KENTUCKY CENTER FOR APPLIED BEHAVIORAL SUPPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:859-562-2430
Mailing Address - Street 1:219 TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2165
Mailing Address - Country:US
Mailing Address - Phone:571-305-3831
Mailing Address - Fax:
Practice Address - Street 1:1737 RUSSELL CAVE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-1600
Practice Address - Country:US
Practice Address - Phone:859-562-2430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty