Active NPI
Maison Tabor, BCBA
- Behavior Analyst
- Elizabethtown, KY
National Provider Identifier
1699340398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-80967
- Practice address
- 2628 Ring Rd Ste 105
Elizabethtown, KY 42701-9123 - Phone
- (270) 215-5959
- Fax
- (615) 815-1946
- NPI assigned
- May 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-80967 | Primary |
Addresses
Primary practice location
2628 Ring Rd Ste 105
Elizabethtown, KY 42701-9123
Mailing address
PO Box 931142
Atlanta, GA 31193-1142
Other names 1
- Maison Nichols
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Minds Learning Center, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Bowling Green, KY
- NPI 1275813222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1699340398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 931142",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311931142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2628 RING RD STE 105",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427019123",
"telephone_number": "270-215-5959",
"fax_number": "615-815-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABOR",
"first_name": "MAISON",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-25-80967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAISON",
"last_name": "NICHOLS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.