Kaitlyn Bailey, BCABA
Individual provider Active NPI Assistant Behavior Analyst · Edgewood, KY
NPI 1073012829 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1073012829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- License
- 284435 (KY)
- Practice address
- 925 Dudley Rd.
Edgewood, KY 41017-8120 - Phone
- (859) 303-9891
- NPI assigned
- Feb 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284435 | KY | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, LLC | Past |
Accepting new patients | |
| A New Leaf Therapeutic Services, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 284435 | KY | Yes |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
925 Dudley Rd.
Edgewood, KY 41017-8120
Mailing address
925 Dudley Rd
Edgewood, KY 41017
Phone (859) 360-3006
Other providers in Edgewood, KY
- Monica Lynn Ashcraft
- Abby Lynn Ayers
- Marcella Babatunde
- Kirsten Lenore Babcock
- James Charles Bailey
- Alyson Bain
- Brian Baker
- Christine A Baker
- James Douglas Baker
- Benjamin Allen Bale
All providers in Edgewood, KY · Assistant Behavior Analyst in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.