Provider Demographics
NPI:1205329695
Name:ADKINS GURLEY, KARA MARIE (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:MARIE
Last Name:ADKINS GURLEY
Suffix:
Gender:F
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 1:12112 OLD LEXINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094-9702
Mailing Address - Country:US
Mailing Address - Phone:859-322-0661
Mailing Address - Fax:
Practice Address - Street 1:12112 OLD LEXINGTON PIKE
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-9702
Practice Address - Country:US
Practice Address - Phone:859-322-0661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY239696103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst