Active NPI
Megan Breanna Wolford, MS, RBT, BCBA
- Behavior Analyst
- Georgetown, KY
National Provider Identifier
1538727532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 105 Windsor Path Ste 1
Georgetown, KY 40324-9819 - Phone
- (859) 317-5985
- NPI assigned
- Jun 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-148476 | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
105 Windsor Path Ste 1
Georgetown, KY 40324-9819
Mailing address
133 Berkshire LN
Georgetown, KY 40324-8818
Phone (606) 471-8126
Other practice location 1
1300 E New Circle Rd Ste 150
Lexington, KY 40505-4322
Phone (859) 685-1019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-23-65710 | Other | BCBA CERT NUMBER | |
| RBT-20-148476 | Other | RBT CERT NUMBER |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, 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.
-
- Behavior Analyst
- Edgewood, KY
- NPI 1952840860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1538727532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BERKSHIRE LN",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248818",
"telephone_number": "606-471-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WINDSOR PATH STE 1",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249819",
"telephone_number": "859-317-5985"
}
],
"practiceLocations": [
{
"address_1": "1300 E New Circle Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405054322",
"country_code": "US",
"telephone_number": "859-685-1019",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFORD",
"first_name": "MEGAN",
"middle_name": "BREANNA",
"credential": "MS, RBT, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2023-07-25",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-148476",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERT NUMBER",
"identifier": "1-23-65710",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT CERT NUMBER",
"identifier": "RBT-20-148476",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.