NPIMap

Organization Active NPI

Bright Start Early Intervention, LLC

  • Behavior Analyst
  • Henderson, KY
National Provider Identifier
1215316807
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1004 Issued in KY
Legal business name
BRIGHT START EARLY INTERVENTION, LLC
Practice address
121 1/2 North Main Street
Henderson, KY 42419-0066
Phone
(270) 860-9594
Fax
(270) 458-0022
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Erica Caitlin Conley, BCABA, MEDNPI 1013348671
Title
Liscensed Behavior Analysis in Ky
Phone
(270) 860-9594

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 1004 KY Primary

Addresses

Primary practice location

121 1/2 North Main Street
Henderson, KY 42419-0066

Mailing address

PO Box 66
Henderson, KY 42419-0066
Phone (270) 860-9594

National Provider Directory

National Provider Directory

Locations

121 N Main St
Henderson, KY 42420
Phone (270) 860-9594

Practitioners & affiliated clinicians

Practitioners 1

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": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1215316807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424190066",
            "telephone_number": "270-860-9594",
            "fax_number": "270-458-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 1/2 NORTH MAIN STREET",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424190066",
            "telephone_number": "270-860-9594",
            "fax_number": "270-458-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT START EARLY INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CAITLIN",
        "authorized_official_title_or_position": "LISCENSED BEHAVIOR ANALYSIS IN KY",
        "authorized_official_telephone_number": "270-860-9594",
        "authorized_official_credential": "BCABA, MED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.