Individual provider Active NPI

Kendal Crotzer, MA, BCBA, LBA

  • Behavior Analyst
  • Lexington, KY
National Provider Identifier
1275132219
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
288825 Issued in KY
Practice address
3257 Loch Ness Dr
Lexington, KY 40517-1240
Phone
(859) 899-9200
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 288825 KY Primary

Addresses

Primary practice location

3257 Loch Ness Dr
Lexington, KY 40517-1240

Mailing address

3257 Loch Ness Dr
Lexington, KY 40517-1240

Other identifiers 1

IdentifierTypeStateIssuer
1-23-68784OtherBCBA CERTIFICATE

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 Arts

State licenses

LicenseStateTypeSpecialty
288825KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Verbal Behavior Consulting, Inc. Behavior Analyst PastSince Oct 1, 2020 Accepting new patients
On the Move Pedatric Therapy PLLC Behavior Analyst Past Accepting new patients
Adaptive Community Support Services Inc 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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1275132219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 LOCH NESS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 LOCH NESS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171240",
            "telephone_number": "859-899-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTZER",
        "first_name": "KENDAL",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "288825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-23-68784",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.