Provider Demographics
NPI:1962826719
Name:APPLIED BEHAVIORAL CONSULTING, LLC
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL CONSULTING, LLC
Other - Org Name:EMILY HOLT
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PROFFES CLINICAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LBA
Authorized Official - Phone:502-905-7714
Mailing Address - Street 1:4517 SHENANDOAH DRIVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241
Mailing Address - Country:US
Mailing Address - Phone:502-905-7714
Mailing Address - Fax:
Practice Address - Street 1:4517 SHENANDOAH DRIVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241
Practice Address - Country:US
Practice Address - Phone:502-905-7714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1012251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health