Active NPI
Leeann Elizabeth Butrum, MA, BCBA
- Behavior Analyst
- Henderson, KY
National Provider Identifier
1144765934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 724 Barrett Blvd Ste a
Henderson, KY 42420-4931 - Phone
- (707) 024-6412
- Fax
- (615) 577-5654
- NPI assigned
- Jan 3, 2017
- Last updated
- Jul 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
724 Barrett Blvd Ste a
Henderson, KY 42420-4931
Mailing address
1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (844) 359-7629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-16-23928 | Other | BCBA CERTIFICATE |
Other names 1
- Leeann Elizabeth Lasher
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brilliant Connections, Inc | Behavior Analyst | Current | Accepting new patients |
Locations
2504 Waterbridge Way
Evansville, IN 47710
Phone (812) 424-4262
730 W Delaware St
Evansville, IN 47710
Phone (812) 646-2604
734 W Delaware St
Evansville, IN 47710
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.
-
- Behavior Analyst
- Evansville, IN
- NPI 1578251526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1144765934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MURFREESBORO PIKE STE 702",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372172679",
"telephone_number": "844-359-7629",
"fax_number": "615-577-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 BARRETT BLVD STE A",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424204931",
"telephone_number": "707-024-6412",
"fax_number": "615-577-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTRUM",
"first_name": "LEEANN",
"middle_name": "ELIZABETH",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-16-23928",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEEANN",
"last_name": "LASHER",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.