Individual provider Active NPI

Jane Katherine Detoma, MA, BCBA, LBA

  • Behavior Analyst
  • Lexington, KY
National Provider Identifier
1558728816
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
240229 Issued in KY
Practice address
2357 Huguenard Dr
Lexington, KY 40503-3015
Phone
(859) 436-8585
NPI assigned
Jan 18, 2016
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 240229 KY Primary

Addresses

Primary practice location

2357 Huguenard Dr
Lexington, KY 40503-3015

Mailing address

2357 Huguenard Dr
Lexington, KY 40503-3015

Other identifiers 1

IdentifierTypeStateIssuer
1-17-28561OtherBCBA CERTIFICATE

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 Arts

State licenses

LicenseStateTypeSpecialty
240229KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sisu of Georgia, Inc CurrentSince Feb 18, 2024 Accepting new patients
Kentuckiana ABA LLC Behavior Analyst Current Accepting new patients
Commonwealth Autism Care Behavior Analyst Past Accepting new patients

Locations

2360 Murphy Blvd
Gainesville, GA 30504
Phone (770) 535-8372

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1558728816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 HUGUENARD DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 HUGUENARD DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033015",
            "telephone_number": "859-436-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETOMA",
        "first_name": "JANE",
        "middle_name": "KATHERINE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "240229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-17-28561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.