Individual provider Active NPI

Caitlin Revell, MS, BCBA, LBA

  • Behavior Analyst
  • Louisville, KY
National Provider Identifier
1316524283
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
298005 Issued in KY
Practice address
9900 Shelbyville Rd Ste 8
Louisville, KY 40223-2965
Phone
(502) 915-8796
Fax
(502) 805-0765
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 298005 KY Primary

Addresses

Primary practice location

9900 Shelbyville Rd Ste 8
Louisville, KY 40223-2965

Mailing address

965 Palatka Rd
Louisville, KY 40214-3419
Phone (502) 240-7128

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 Science

State licenses

LicenseStateTypeSpecialty
298005KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Walden Behavior Solutions, LLC Behavior Analyst CurrentSince Mar 11, 2025 Accepting new patients

Locations

9900 Shelbyville Rd
Ste 8
Louisville, KY 40223
Phone (502) 915-8796

Organizations & group practices 1

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1316524283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 PALATKA RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143419",
            "telephone_number": "502-240-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SHELBYVILLE RD STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232965",
            "telephone_number": "502-915-8796",
            "fax_number": "502-805-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELL",
        "first_name": "CAITLIN",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "298005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.