Active NPI
To the Max Behavior Therapy, LLC
- Behavior Analyst
- Owensboro, KY
National Provider Identifier
1376296392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- TO THE MAX BEHAVIOR THERAPY, LLC
- Practice address
- 4225 Benttree Dr
Owensboro, KY 42301-8669 - Phone
- (270) 240-2846
- Fax
- (270) 246-9762
- NPI assigned
- Jan 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nisa F Harper
- Title
- Admin Asst
- Phone
- (270) 316-3487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4225 Benttree Dr
Owensboro, KY 42301-8669
Mailing address
4225 Benttree Dr
Owensboro, KY 42301-8669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100461110 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- To the Max Behavior Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Technician
- Owensboro, KY
- NPI 1124558002
Locations
4225 Benttree Dr
Owensboro, KY 42301
Phone (270) 240-2846
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Owensboro, KY
- NPI 1558895458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1376296392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 BENTTREE DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423018669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 BENTTREE DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423018669",
"telephone_number": "270-240-2846",
"fax_number": "270-246-9762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TO THE MAX BEHAVIOR THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "NISA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "ADMIN ASST",
"authorized_official_telephone_number": "270-316-3487"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100461110",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.