Christopher Derek George, LBCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0013 Issued in KY

Practice address

196 Observation Pointe Dr
Somerset, KY 42503-3784

Phone

(606) 875-2137

NPI assigned

Aug 29, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Applied Behavioral Advancements, LLC

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1851510374

  Behavior Analyst

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1023418704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 OBSERVATION POINTE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033784",
            "telephone_number": "606-875-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 OBSERVATION POINTE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033784",
            "telephone_number": "606-875-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CHRISTOPHER",
        "middle_name": "DEREK",
        "credential": "LBCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "0013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100323050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisette Marie Garrett, MD
• Ashley Danielle Gates, DHH
• Cadie Elizabeth Gay, DMD
• Melissa Gensel
• Corey Gentry, CPSS
• Brooke Gerhing, PHARMD
• Wael I Ghanim, M.D.
• Mary Gibson
• Nicholas L Gibson, B.A.
• Susan Ballou Gibson, DMD, MSD

• Behavior Analyst in Somerset, KY
• Providers in Somerset, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.