NPIMap

Organization Active NPI

Sunrise ABA of Kentucky ,LLC

  • Behavior Analyst
  • Taylor Mill, KY
National Provider Identifier
1205775442
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNRISE ABA OF KENTUCKY ,LLC
Practice address
724 Mill Valley Dr
Taylor Mill, KY 41015-2280
Phone
(628) 250-7500
Fax
(855) 461-3566
NPI assigned
Mar 25, 2026
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Brady Keith
Title
Ceo
Phone
(707) 799-9527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

724 Mill Valley Dr
Taylor Mill, KY 41015-2280

Mailing address

1530 Meridian Ave Ste 302
San Jose, CA 95125-5350
Phone (628) 250-7500

National Provider Directory

National Provider Directory

Locations

1530 Meridian Ave
Ste 302
San Jose, CA 95125
Phone (628) 587-7279

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1205775442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MERIDIAN AVE STE 302",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255350",
            "telephone_number": "628-250-7500",
            "fax_number": "855-461-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MILL VALLEY DR",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410152280",
            "telephone_number": "628-250-7500",
            "fax_number": "855-461-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ABA OF KENTUCKY ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-799-9527"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor Mill, KY

Sources for this page

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

Verify at the official NPI Registry.