Active NPI
Nicci Isabella Jean-Charles
- Behavior Technician
- Lexington, KY
National Provider Identifier
1619775426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-416927
- Practice address
- 881 Corporate Dr Ste 101
Lexington, KY 40503-2748 - Phone
- (859) 447-0288
- NPI assigned
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT-25-416927 | KY | Primary |
Addresses
Primary practice location
881 Corporate Dr Ste 101
Lexington, KY 40503-2748
Mailing address
400 Aylesford PL Apt 3
Lexington, KY 40508-3338
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 |
|---|---|---|---|
| RBT-25-416927 | KY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1619775426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 AYLESFORD PL APT 3",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 CORPORATE DR STE 101",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032748",
"telephone_number": "859-447-0288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-CHARLES",
"first_name": "NICCI",
"middle_name": "ISABELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "KY",
"license": "RBT-25-416927",
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.