Individual provider Active NPI

Aymee Knight

  • Behavior Analyst
  • Paducah, KY
National Provider Identifier
1396497459
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
290555 Issued in KY
Practice address
6201 Benton Rd
Paducah, KY 42003-1304
Phone
(270) 908-0461
Fax
(270) 366-0780
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 290555 KY Primary

Addresses

Primary practice location

6201 Benton Rd
Paducah, KY 42003-1304

Mailing address

6201 Benton Rd
Paducah, KY 42003-1304
Phone (270) 908-0461

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@bloombehavior.com Direct

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
290555KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Behavior Therapy LLC Behavior Analyst CurrentSince Jan 26, 2022 Accepting new patients

Locations

6201 Benton Rd
Paducah, KY 42003
Phone (270) 908-0461

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1396497459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BENTON RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031304",
            "telephone_number": "270-908-0461",
            "fax_number": "270-366-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BENTON RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031304",
            "telephone_number": "270-908-0461",
            "fax_number": "270-366-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "AYMEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "290555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bloombehavior.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "6201 Benton Rd",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420031304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

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