Individual provider Active NPI

Kathleen Elise Humphrey-Dell, BCBA, LBA

  • Behavior Analyst
  • Murfreesboro, TN
National Provider Identifier
1043884240
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
791 Issued in TN
Practice address
947 Park Ave
Murfreesboro, TN 37129-4907
Phone
(615) 203-6820
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 791 TN Primary

Addresses

Primary practice location

947 Park Ave
Murfreesboro, TN 37129-4907

Mailing address

947 Park Ave
Murfreesboro, TN 37129-4907
Phone (615) 203-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
791TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Cubed, LLC Behavior Analyst Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1043884240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 PARK AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294907",
            "telephone_number": "615-203-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 PARK AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294907",
            "telephone_number": "615-203-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY-DELL",
        "first_name": "KATHLEEN",
        "middle_name": "ELISE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.