Jodi Lynn Bauer, LPP,LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0048 Issued in KY

Practice address

2325 Ridgewood Dr
Madisonville, KY 42431-9411

Phone

(270) 339-0127

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jodi Lynn Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dynamic Behavior Solutions, LLC

  • Behavior Analyst
  • Madisonville, KY
  • NPI 1245628874
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1487873535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 RIDGEWOOD DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319411",
            "telephone_number": "270-339-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 RIDGEWOOD DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319411",
            "telephone_number": "270-339-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "LPP,LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "0048",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "0108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "MARTIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baptist Health Medical Group Inc
• Baptist Medical Management Services Inc
• Shilah Barnes, CSA
• Barry J Sobel MD LLC
• Tammy W Barton, P.T.
• Richard C Bauer, MD
• Ashley Baugh
• Ellen Louise Beach, DO
• Laura Marie Bearden, APRN, FNP-C
• Behavioral Resources, Inc.

• Behavior Analyst in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.