Carrie Lynne Pritchard, PHD, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

163008 Issued in KY

Practice address

705 Wakefield St
Bowling Green, KY 42103-1552

Phone

(270) 935-5119

Fax

(270) 935-5109

NPI assigned

Jan 6, 2015

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

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Essential Behavior Inc.

  • Behavior Analyst
  • Bowling Green, KY
  • NPI 1194491571
  NPD Authorized official
• Community Living in Kentucky, LLC

  • Community/Behavioral Health Agency
  • Murray, KY
  • NPI 1518281419

  Behavior Analyst

  NPD (past)
• Gateway Counseling Services

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1508278458
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1669860169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WAKEFIELD ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031552",
            "telephone_number": "270-935-5119",
            "fax_number": "270-935-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WAKEFIELD ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031552",
            "telephone_number": "270-935-5119",
            "fax_number": "270-935-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "CARRIE",
        "middle_name": "LYNNE",
        "credential": "PHD, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "163008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100332420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Priddy, CSW
• Primecare Medicine Associates
• Emma Logan Prince
• Lindsay L Prince, M.S.CCC-SLP
• Wilma Priquette
• Professional Surgical Assistants, Inc. (PSA, Inc.)
• Debbie Proffitt
• Progressive Path ABA
• Prorehab Inc (ProRehab of Bowling Green)
• Prorehab Inc (ProRehab of Bowling Green)

• Behavior Analyst in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.