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REDWOOD SCHOOL & REHABILITATION CENTER INC NPI 1598364333


NPI Information

NPI: 1598364333
Provider Name: REDWOOD SCHOOL & REHABILITATION CENTER, INC

Doing Business As: EASTERSEALS REDWOOD

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 18D0987344

Address:
71 ORPHANAGE RD
FORT MITCHELL, KY
ZIP 41017
Phone: (859) 331-0880
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REDWOOD SCHOOL & REHABILITATION CENTER, INC is a behavior analyst in Fort Mitchell, KY. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. REDWOOD SCHOOL & REHABILITATION CENTER, INC NPI is 1598364333. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Easterseals Redwood.

The provider's business location address is:

71 ORPHANAGE RD
FORT MITCHELL, KY
ZIP 41017-099
Phone: (859) 331-0880
Fax: (855) 704-1573

The provider's authorized official is Pam Green .
The authorized official title is Ceo and has the following contact phone number (859) 331-0880.

The CLIA number assigned to this NPI record is 18D0987344 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 11/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106S00000XBehavior TechnicianNo
2103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100713640MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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