Active NPI
Christina L Justice, BCBA
- Behavior Analyst
- Louisville, KY
National Provider Identifier
1487906954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- KY0023
- Practice address
- 9810 Bluegrass Pkwy
Louisville, KY 40299-1906 - Phone
- (502) 473-7219
- Fax
- (502) 709-9892
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | KY0023 | KY | Primary |
Addresses
Primary practice location
9810 Bluegrass Pkwy
Louisville, KY 40299-1906
Mailing address
PO Box 1659
Somerset, KY 42502-1659
Phone (606) 677-2636
Other practice location 1
1250 Bardstown Rd Ste 15
Louisville, KY 40204-1333
Phone (502) 409-9548
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY0023 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1851510374
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1487906954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1659",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425021659",
"telephone_number": "606-677-2636",
"fax_number": "606-677-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9810 BLUEGRASS PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402991906",
"telephone_number": "502-473-7219",
"fax_number": "502-709-9892"
}
],
"practiceLocations": [
{
"address_1": "1250 Bardstown Rd Ste 15",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402041333",
"country_code": "US",
"telephone_number": "502-409-9548",
"fax_number": "502-709-9892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTICE",
"first_name": "CHRISTINA",
"middle_name": "L",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "KY0023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.