Kentuckiana Behavior Therapy PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21910 Issued in KY

Legal business name

KENTUCKIANA BEHAVIOR THERAPY PLLC

Practice address

5502 Charlestown Pike
Jeffersonville, IN 47130-8755

Phone

(502) 554-1900

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael T O'BrienNPI 1699291393

Title

Behavior Analyst

Phone

(502) 554-1900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael O'Brien, BCBA

  • Behavior Analyst
  • Jeffersonville, IN
  • NPI 1699291393
  NPD (past) Authorized official

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1659881282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 CHARLESTOWN PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 CHARLESTOWN PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308755",
            "telephone_number": "502-554-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA BEHAVIOR THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "502-554-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-16-21910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen January Kelley, M.S.W.
• Madelyn Kelley, RBT
• Charles Kemper, M.P.C.
• Emily Kennedy, LSW
• Logan Kennedy, OTR
• Kentuckiana Biodent
• Kentuckiana Diagnostics
• Kentuckiana Non-Emergency Medical Transportation (Knemt)
• Kentuckiana Premier PST Center, LLC
• Brenda Kepley-Blum, LMHC

• Behavior Analyst in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.