Provider Demographics
NPI:1578831756
Name:YOUSEM, JOSHUA HARRIS (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:HARRIS
Last Name:YOUSEM
Suffix:
Gender:M
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 WALLACE AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3766
Mailing Address - Country:US
Mailing Address - Phone:502-550-2716
Mailing Address - Fax:
Practice Address - Street 1:407 WALLACE AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3766
Practice Address - Country:US
Practice Address - Phone:502-550-2716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2014-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst