Active NPI
To the Max Behavior Therapy, LLC
- Behavior Technician
- Owensboro, KY
National Provider Identifier
1124558002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- TO THE MAX BEHAVIOR THERAPY, LLC
- Practice address
- 905 Griffith Avenue
Owensboro, KY 42301 - Phone
- (270) 315-7823
- NPI assigned
- Jun 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Kevin Thompson
- Title
- Executive Director
- Phone
- (270) 993-7476
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
905 Griffith Avenue
Owensboro, KY 42301
Mailing address
905 Griffith Ave
Owensboro, KY 42301-3603
Phone (270) 315-7823
Other names 1
- To The Max Behavior Therapy
National Provider Directory
National Provider Directory- Tax ID family
- To the Max Behavior Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Owensboro, KY
- NPI 1376296392
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Owensboro, KY
- NPI 1558895458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1124558002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 GRIFFITH AVE",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423013603",
"telephone_number": "270-315-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 GRIFFITH AVENUE",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42301",
"telephone_number": "270-315-7823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TO THE MAX BEHAVIOR THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "270-993-7476",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "To The Max Behavior Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.