Active NPI
Terri Ann Julian, M.ED., BCBA, LBA
- Behavior Analyst
- Bowling Green, KY
National Provider Identifier
1609382266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 288294
- Practice address
- 2427 Russellville Rd
Bowling Green, KY 42101-3980 - Phone
- (270) 936-7472
- Fax
- (317) 520-8200
- NPI assigned
- Dec 19, 2017
- 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 Analyst | 103K00000X | 1-20-43542 | GA | |
| Behavior Analyst | 103K00000X | 288294 | KY | Primary |
Addresses
Primary practice location
2427 Russellville Rd
Bowling Green, KY 42101-3980
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
3800 Camp Creek Pkwy SW Ste 100
Atlanta, GA 30331-6247
Phone (770) 999-9271
Other practice location 2
971 N Gilbert Rd Ste 101
Gilbert, AZ 85234-3481
Phone (480) 559-8089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-20-43542 | Other | BCBA 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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288294 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1609382266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 RUSSELLVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421013980",
"telephone_number": "270-936-7472",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "3800 Camp Creek Pkwy SW Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303316247",
"country_code": "US",
"telephone_number": "770-999-9271",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "971 N Gilbert Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852343481",
"country_code": "US",
"telephone_number": "480-559-8089",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JULIAN",
"first_name": "TERRI",
"middle_name": "ANN",
"credential": "M.ED., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-20-43542",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "288294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-20-43542",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.