KASEY ATACK
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1033931720- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1053 LOVERS LN STE B, BOWLING GREEN, KY, 421037166
- Phone
- (270) 991-0837
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
90 HOWARD DR
SHELBYVILLE, KY, 400658138