Organization Active NPI

Buckeye Behavior Services, LLC.

  • Behavior Analyst
  • Beavercreek, OH
National Provider Identifier
1184142929
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
COBA.320 Issued in OH
Legal business name
BUCKEYE BEHAVIOR SERVICES, LLC.
Practice address
3333 Dayton Xenia Rd
Beavercreek, OH 45432-2765
Phone
(937) 750-1054
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Laura Lacy Kilgore, BCBA-D, COBA, PH.D.NPI 1003351826
Title
Executive Director/Owner
Phone
(937) 750-1054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X COBA.320 OH Primary

Addresses

Primary practice location

3333 Dayton Xenia Rd
Beavercreek, OH 45432-2765

Mailing address

5388 Weidner Rd
Springboro, OH 45066-7710
Phone (937) 750-1054

Other practice location 1

5388 Weidner Rd
Springboro, OH 45066-7710
Phone (937) 750-1054

Other identifiers 1

IdentifierTypeStateIssuer
1003351826MedicaidOH

National Provider Directory

National Provider Directory

Locations

3333 Dayton Xenia Rd
Beavercreek, OH 45432
Phone (937) 750-1054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184142929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 WEIDNER RD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667710",
            "telephone_number": "937-750-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322765",
            "telephone_number": "937-750-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5388 Weidner Rd",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450667710",
            "country_code": "US",
            "telephone_number": "937-750-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUCKEYE BEHAVIOR SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "937-750-1054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D, COBA, PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003351826",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

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.

Verify at the official NPI Registry.