Provider Demographics
NPI:1376106484
Name:MCCARTHY, DANA (BCBA)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 HUNTER LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9289
Mailing Address - Country:US
Mailing Address - Phone:859-314-4158
Mailing Address - Fax:
Practice Address - Street 1:910 RED HOUSE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-9326
Practice Address - Country:US
Practice Address - Phone:859-353-5505
Practice Address - Fax:833-799-3656
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-16
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY248170103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst