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Contact Information

MELISSA J MAHONEY, BCBA
11401 BLUEGRASS PARKWAY
LOUISVILLE, KY40299
 Phone: 502-435-9660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for MELISSA J MAHONEY · (Female)

NPI Number 1952825937
Status Active
Credentials BCBA (Board Certified Behavior Analyst)
Entity Individual
Enumeration date 08/01/2017
Last updated 08/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KY License # ABALBA00225138
  • GA Medicaid 81-5255596
  • KY Medicaid 81-524355
  • VA Medicaid 81-5414887
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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