NPIMap

Organization Active NPI

Kentucky Association for Behavior Interventions

Doing business as i-ABA

  • Behavior Analyst
  • New Albany, IN
National Provider Identifier
1205105467
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-2095 Issued in KY
Legal business name
KENTUCKY ASSOCIATION FOR BEHAVIOR INTERVENTIONS
Doing business as
i-ABA
Practice address
3211 Grant Line Rd
Suite 15
New Albany, IN 47150-2175
Phone
(502) 417-9830
NPI assigned
Dec 17, 2011
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Keith Hersh, MS BCBA LBANPI 1366731416
Title
Executive Director
Phone
(502) 417-9830

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 Analyst 103K00000X 1-04-2095 KY Primary

Addresses

Primary practice location

3211 Grant Line Rd
Suite 15
New Albany, IN 47150-2175

Mailing address

11305 Arbor Wood Dr
Louisville, KY 40299-4189
Phone (502) 417-9830

Other identifiers 1

IdentifierTypeStateIssuer
1-04-2095OtherKYBOARD CERTIFIED BEHAVIOR ANALYST

Other names 1

  • i-ABA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1324080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1205105467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 ARBOR WOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402994189",
            "telephone_number": "502-417-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 GRANT LINE RD",
            "address_2": "SUITE 15",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502175",
            "telephone_number": "502-417-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ASSOCIATION FOR BEHAVIOR INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-17",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "HERSH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-417-9830",
        "authorized_official_credential": "MS BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-04-2095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-04-2095",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "i-ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.