Jessica Nichole Humphrey, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

294456 Issued in KY

Practice address

9900 Shelbyville Rd Ste 8
Louisville, KY 40223-2965

Phone

(502) 915-8796

Fax

(502) 805-0765

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Walden Behavior Solutions, LLC

  • Behavior Analyst
  • Louisville, KY
  • NPI 1568851889
  NPD

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1023844800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SHELBYVILLE RD STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232965",
            "telephone_number": "502-915-8796",
            "fax_number": "502-805-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SHELBYVILLE RD STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232965",
            "telephone_number": "502-915-8796",
            "fax_number": "502-805-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "294456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Oliver Humke, IBCLC
• Olivia Jean Hummel, LPN
• Ivy Elise Humphres, FNP-C
• Danielle Elise Humphrey, M.D.
• Haley Humphrey, DNP, FNP-C
• Laura E Humphrey, PT
• Nora Humphrey, PT, DPT
• Pauline Lounette Humphrey, M.D.
• Tamara Leigh Humphrey, PHARMD, RPH
• Melissa Humphreys, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.