Individual provider Active NPI

Rachael McCabe Puckett, M.ED., BCBA, LBA

  • Behavior Analyst
  • Bowling Green, KY
National Provider Identifier
1255970828
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
261874 Issued in KY
Practice address
1053 Lovers LN
Bowling Green, KY 42103-7166
Phone
(502) 633-1007
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 261874 KY Primary

Addresses

Primary practice location

1053 Lovers LN
Bowling Green, KY 42103-7166

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138

Other practice location 1

1300 East New Circle Road
Suite 150
Lexington, KY 40505-9001
Phone (859) 685-1019

Other identifiers 1

IdentifierTypeStateIssuer
1-19-39345OtherBCBA CERTIFICATE

Other names 1

  • Rachael Katherine McCabe Former name

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 Education

State licenses

LicenseStateTypeSpecialty
261874KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Pediatric Therapy, LLC Behavior Analyst Past Accepting new patients
Jones Therapy Services LLC Behavior Analyst PastSince May 17, 2021 Accepting new patients
Associates in Pediatric Therapy, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1255970828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 LOVERS LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037166",
            "telephone_number": "502-633-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 East New Circle Road",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405059001",
            "country_code": "US",
            "telephone_number": "859-685-1019",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "RACHAEL",
        "middle_name": "MCCABE",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "261874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-19-39345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MCCABE",
            "middle_name": "KATHERINE",
            "credential": "M.ED., BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.