Individual provider Active NPI

Jacqueline McBride

  • Behavior Analyst
  • Henderson, KY
National Provider Identifier
1629664115
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-65846 Issued in IN
Practice address
438 5TH St
Henderson, KY 42420-3052
Phone
(270) 827-4652
Fax
(615) 815-1946
NPI assigned
Dec 18, 2020
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-65846 KY
Behavior Technician 106S00000X RBT-17-30043 KY
Behavior Analyst 103K00000X 1-23-65846 IN Primary
Behavior Analyst 103K00000X 286318 KY

Addresses

Primary practice location

438 5TH St
Henderson, KY 42420-3052

Mailing address

438 5TH St
Henderson, KY 42420-3052
Phone (270) 832-2252

Other practice location 1

4655 Rosebud Ln
Newburgh, IN 47630-9366
Phone (812) 213-8031

Other names 1

  • Jacqueline Floyd Former name

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

LicenseStateTypeSpecialty
286318KYMDBehavioral Analyst
RBT-17-30043KYMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Autism Care Behavior Analyst Past Accepting new patients
Circle City ABA Behavior Analyst PastSince Dec 1, 2020 Accepting new patients
Growing Minds Learning Center, LLC Behavior Analyst PastSince Feb 1, 2022 Accepting new patients

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1629664115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 5TH ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203052",
            "telephone_number": "270-832-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 5TH ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203052",
            "telephone_number": "270-827-4652",
            "fax_number": "615-815-1946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4655 Rosebud Ln",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476309366",
            "country_code": "US",
            "telephone_number": "812-213-8031",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2026-10-11",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-23-65846",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-17-30043",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-23-65846",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "286318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FLOYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.