Allyson D Jarboe

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-62860 Issued in KY

Practice address

635 S Main St
Leitchfield, KY 42754-1056

Phone

(270) 287-0656

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Early Intervention and Consultation Services, LLC

  dba Eics, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Leitchfield, KY
  • NPI 1780092957
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1598245094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 JARBOE RD",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427268666",
            "telephone_number": "270-312-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S MAIN ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541056",
            "telephone_number": "270-287-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARBOE",
        "first_name": "ALLYSON",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-18-62860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "KYHAN6495217",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Hunt, APRN
• Stephanie Rachelle Hyberger, LPA
• Lydia Jackson, RBT
• Jeanette Marie Jacobs, APRN
• Jarboe Family Practice, PSC
• Charles D Jarboe, MD
• Andrew William Jenkins, M.D.
• Cari Beth Johnson, APRN, FNP-BC
• Craig Arby Johnson, M.D.
• Shannon Lea Johnston, LPCC

• Behavior Technician in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.