Active NPI
Jonathan Burt, PHD
- Behavior Analyst
- Louisville, KY
National Provider Identifier
1376244897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 272738
- Practice address
- 17556 Aiken Rd
Louisville, KY 40245-4447 - Phone
- (502) 810-8842
- NPI assigned
- Mar 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 272738 | KY | Primary |
Addresses
Primary practice location
17556 Aiken Rd
Louisville, KY 40245-4447
Mailing address
17556 Aiken Rd
Louisville, KY 40245-4447
Phone (502) 963-2663
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272738 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1376244897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17556 AIKEN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454447",
"telephone_number": "502-963-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17556 AIKEN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454447",
"telephone_number": "502-810-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "JONATHAN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "272738",
"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 13, 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.