Individual provider Active NPI

Allison Grace Stowers, RBT

  • Behavior Technician
  • Radcliff, KY
National Provider Identifier
1376382127
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-327139 Issued in KY
Practice address
402 W Lincoln Trail Blvd Ste C
Radcliff, KY 40160-2011
Phone
(270) 883-5547
Fax
(270) 547-3739
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-327139 KY Primary

Addresses

Primary practice location

402 W Lincoln Trail Blvd Ste C
Radcliff, KY 40160-2011

Mailing address

228 Emmanuel Way LN
Webster, KY 40176-5037
Phone (270) 883-5547

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

State licenses

LicenseStateTypeSpecialty
RBT-24-327139KYMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Autism Interventions LLC Behavior Technician CurrentSince May 26, 2024 Accepting new patients
Marin Autism Interventions, LLC. PastSince May 26, 2024 Accepting new patients

Locations

402 W Lincoln Trail Blvd
Ste C
Radcliff, KY 40160
Phone (270) 883-5547

Organizations & group practices 2

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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1376382127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 EMMANUEL WAY LN",
            "city": "WEBSTER",
            "state": "KY",
            "postal_code": "401765037",
            "telephone_number": "270-883-5547",
            "fax_number": "270-547-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W LINCOLN TRAIL BLVD STE C",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602011",
            "telephone_number": "270-883-5547",
            "fax_number": "270-547-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWERS",
        "first_name": "ALLISON",
        "middle_name": "GRACE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-24-327139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.