Individual provider Active NPI

Brittany Lee Ansell, MS

  • Behavior Analyst
  • Masonic Home, KY
National Provider Identifier
1124633045
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
295929 Issued in KY
Practice address
3761 Johnson Hall Dr
Masonic Home, KY 40041-9998
Phone
(502) 633-1007
Fax
(502) 805-1511
NPI assigned
Sep 9, 2020
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 295929 KY Primary
Behavior Technician 106S00000X RBT-19-105637 KY

Addresses

Primary practice location

3761 Johnson Hall Dr
Masonic Home, KY 40041-9998

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 233-9074

Other practice location 1

11840 Commonwealth Dr
Louisville, KY 40299-2309
Phone (502) 293-1695

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 Science

State licenses

LicenseStateTypeSpecialty
295929KYMDBehavioral Analyst
RBT-19-105637KYMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Pediatric Therapy, LLC Behavior Analyst Past 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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1124633045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-233-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 JOHNSON HALL DR",
            "city": "MASONIC HOME",
            "state": "KY",
            "postal_code": "400419998",
            "telephone_number": "502-633-1007",
            "fax_number": "502-805-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11840 Commonwealth Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402992309",
            "country_code": "US",
            "telephone_number": "502-293-1695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSELL",
        "first_name": "BRITTANY",
        "middle_name": "LEE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "295929",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-19-105637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Masonic Home, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.