Individual provider Active NPI

Tara Pelfrey, BCBA, LBA

  • Behavior Analyst
  • Louisville, KY
National Provider Identifier
1376940825
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
KY-0073 Issued in KY
Practice address
309 Lyndon LN
Louisville, KY 40222-4603
Phone
(502) 594-2731
NPI assigned
Nov 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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 KY-0073 KY Primary

Addresses

Primary practice location

309 Lyndon LN
Louisville, KY 40222-4603

Mailing address

309 Lyndon LN
Louisville, KY 40222-4603
Phone (502) 594-2731

Other names 1

  • Tara Sorgi Former name

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
KY-0073KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Advancements, LLC Behavior Analyst Past Accepting new patients

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": "1417132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417132800000",
    "number": "1376940825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224603",
            "telephone_number": "502-594-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224603",
            "telephone_number": "502-594-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELFREY",
        "first_name": "TARA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "KY-0073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "SORGI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 28, 2014; 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.