Kimberly Renee Hale, PH.D., LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

300 Fairlane Dr
Lafayette, TN 37083-1709

Phone

(615) 688-9504

Fax

(615) 688-9503

NPI assigned

Nov 5, 2015

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Jenkins Center LLC

  • Behavior Analyst
  • Lafayette, TN
  • NPI 1770321127
  NPD Authorized official
• Wellspring, LLC

  • Behavior Analyst
  • Lafayette, TN
  • NPI 1881178176
  NPD (past) Authorized official

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1154794675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FAIRLANE DR",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831709",
            "telephone_number": "615-688-9504",
            "fax_number": "615-688-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FAIRLANE DR",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831709",
            "telephone_number": "615-688-9504",
            "fax_number": "615-688-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LBA,  BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "KY-1007",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Shaye Fitzpatrick, N.P.
• Kevin James Gocha, D.C.
• Roseann Taylor Gray, MSN, APRN, FNP-C
• Sonja Renee Gregory, PTA
• Guardian Transport LLC
• Priscilla Ann Hale, FNP
• Emily L Harper, O.D.
• Alisha Denise Harrell
• Hatcher Healthcare, LLC
• Kirstin Danielle Hill

• Behavior Analyst in Lafayette, TN
• Providers in Lafayette, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.