Active NPI
Bethany Lynn Long, MS, BCBA, LBA
- Behavior Analyst
- Jeffersonville, IN
National Provider Identifier
1184249104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 302808
- Practice address
- 355 Quartermaster CT
Jeffersonville, IN 47130-3670 - Phone
- (812) 258-9802
- Fax
- (317) 520-8200
- NPI assigned
- Jun 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 302808 | KY | Primary |
| Behavior Analyst | 103K00000X | 1-21-55517 | IN |
Addresses
Primary practice location
355 Quartermaster CT
Jeffersonville, IN 47130-3670
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
215 S Hurstbourne Pkwy Ste 213
Louisville, KY 40222-4937
Phone (502) 353-2074
Other practice location 2
4610 W Commercial Dr
North Little Rock, AR 72116-7057
Phone (501) 287-5229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-55517 | Other | BCBA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 302808 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim Therapy, LLC | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Little Rock, AR
- NPI 1801402821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1184249104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 QUARTERMASTER CT",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303670",
"telephone_number": "812-258-9802",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "215 S Hurstbourne Pkwy Ste 213",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402224937",
"country_code": "US",
"telephone_number": "502-353-2074",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4610 W Commercial Dr",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721167057",
"country_code": "US",
"telephone_number": "501-287-5229",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "BETHANY",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "302808",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-21-55517",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-21-55517",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.