Sarah Elizabeth Beasley

Individual provider Active NPI Behavior Analyst · Louisville, KY

NPI 1336714823 · NPPES record last updated May 26, 2021

Key facts

NPI
1336714823
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
2700760 (KY)
Practice address
9900 Shelbyville Rd Ste 8
Louisville, KY 40223-2965
Phone
(502) 915-8796
Fax
(502) 805-0765
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2700760KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Walden Behavior Solutions, LLC Behavior Analyst Current
since Jun 22, 2021
Accepting new patients

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X 2700760 KY Yes

Addresses

Primary practice location

9900 Shelbyville Rd Ste 8
Louisville, KY 40223-2965

Mailing address

9900 Shelbyville Rd Ste 8
Louisville, KY 40223-2965
Phone (502) 915-8796

Other providers in Louisville, KY

All providers in Louisville, KY · Behavior Analyst in Kentucky

Sources for this page

Verify at the official NPI Registry.