Pediatric ABA and Autism Supports of Northern Kentucky LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PEDIATRIC ABA AND AUTISM SUPPORTS OF NORTHERN KENTUCKY LLC

Practice address

42 Overlook Dr
Fort Thomas, KY 41075-1860

Phone

(859) 443-6622

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Alexandra Daniels, BCBA, LBANPI 1992152565

Title

Board Certified Behavior Analyst

Phone

(859) 443-6622

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Rene Daniels, MA, BCBA, LBA, COBA

  • Behavior Analyst
  • Southgate, KY
  • NPI 1992152565
  NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1295548196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 OVERLOOK DR",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751860",
            "telephone_number": "859-443-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 OVERLOOK DR",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751860",
            "telephone_number": "859-443-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ABA AND AUTISM SUPPORTS OF NORTHERN KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "859-443-6622",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pal Play and Learn Therapy Services
• Julia Grace Palmer, COTA/L
• Soon Park, MD
• Ginger Paul, ED.D
• Maria P. Pavlou, MD
• Jordan B Perlman, MD
• James Michael Petit, M.D.
• Robert Joseph Pettit
• Kevin Michael Pfeiffer, D.M.D.
• Mark Andrew Pfeiffer, D.M.D.

• Behavior Analyst in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.