Emily Katharine Hagan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

289409 Issued in KY

Practice address

2100 Liberty Rd
Lexington, KY 40509-4319

Phone

(859) 447-2309

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Comfortable Living LLC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1245923481
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1740833979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SPERLING DR APT 8105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092717",
            "telephone_number": "859-447-2309",
            "fax_number": "502-236-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LIBERTY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094319",
            "telephone_number": "859-447-2309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 Commerce Crossings Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402292183",
            "country_code": "US",
            "telephone_number": "502-251-7002",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "EMILY",
        "middle_name": "KATHARINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "289409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J. Haddox, CRNA
• Fred Park Hadley, MD
• Kaelyn Boner Hadley, RPH
• Sarah Welch Haerle, DMD
• Jack Edwin Haffermann
• Kelly Lynn Hagan, M.A.
• Miranda Hagan, APRN
• Michael Dale Hagen, M.D.
• Christy Roe Hager, RN
• Larkin McClain Hager Jr.

• All providers in Lexington, KY
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.