Behavior Support Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

33000118 Issued in KY

Legal business name

BEHAVIOR SUPPORT SERVICES, LLC

Practice address

1103 Northwood Dr
Murray, KY 42071-3590

Phone

(270) 759-9977

Fax

(270) 759-9972

NPI assigned

Mar 13, 2007

Last updated

Dec 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Jones

Title

Co-Director

Phone

(270) 759-9977

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1104959766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420710011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 NORTHWOOD DR",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420713590",
            "telephone_number": "270-759-9977",
            "fax_number": "270-759-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "270-759-9977"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": "33000118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000118",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica A Bazzell, APRN
• Laressa Fay Bazzell, MSN, CRNA
• Nona Lee Bazzell
• Gracie Beasley, NP
• Joseph L Becker, APRN
• Sarah J Bell, NP
• Andrew William Benson
• Nicholas Best, LPA-T
• Betterhealth P.S.C
• Pramit Bhasin, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Murray, KY
• Providers in Murray, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.