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KENTUCKY INTEGRATIVE AUTISM SPECIALIST PLLC

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Company Details

Name: KENTUCKY INTEGRATIVE AUTISM SPECIALIST PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 18 Aug 2023 (2 years ago)
Organization Date: 18 Aug 2023 (2 years ago)
Last Annual Report: 31 Mar 2024 (a year ago)
Managed By: Managers
Organization Number: 1302305
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40361
City: Paris
Primary County: Bourbon County
Principal Office: 416 MILLERSBURG RD, PARIS, KY 40361
Place of Formation: KENTUCKY

Registered Agent

Name Role
Tiffany Banks Registered Agent

Manager

Name Role
Tiffany JoAnn Banks Manager

Organizer

Name Role
Tiffany Banks Organizer

National Provider Identifier

NPI Number:
1508645359
Certification Date:
2025-01-30

Authorized Person:

Name:
TIFFANY BANKS
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Assumed Names

Name Status Expiration Date
KY INTEGRATIVE AUTISM & FAMILY CARE Active 2029-10-02
KY INTEGRATIVE FAMILY CARE Active 2029-04-18

Filings

Name File Date
Certificate of Assumed Name 2024-10-02
Principal Office Address Change 2024-10-02
Certificate of Assumed Name 2024-04-18
Annual Report 2024-03-31
Principal Office Address Change 2024-03-31

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Sources: Kentucky Secretary of State