Individual provider Active NPI

Shelby B Brown, M.ED. BCBA LBA

  • Behavior Analyst
  • Somerset, KY
National Provider Identifier
1083315899
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
282668 Issued in KY
Practice address
105 College St
Somerset, KY 42501-1307
Phone
(606) 677-2636
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 282668 KY Primary

Addresses

Primary practice location

105 College St
Somerset, KY 42501-1307

Mailing address

105 Meadow Dr
Sellersburg, IN 47172-9785
Phone (502) 271-8250

Other practice location 1

207 Townepark Cir
Louisville, KY 40243-2321
Phone (606) 677-2636

Other names 1

  • Shelby B Stewart Former name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
282668KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Advancements, LLC Behavior Analyst PastSince Mar 19, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1083315899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEADOW DR",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471729785",
            "telephone_number": "502-271-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLEGE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011307",
            "telephone_number": "606-677-2636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Townepark Cir",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402432321",
            "country_code": "US",
            "telephone_number": "606-677-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHELBY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.ED. BCBA LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "282668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "STEWART",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.