Individual provider Active NPI

Kathrin Zeller, BCBA

  • Behavior Analyst
  • Lexington, KY
National Provider Identifier
1760880587
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
KY-ABALBA00216062 Issued in KY
Practice address
151 Prosperous PL
Suite 1B
Lexington, KY 40509-2180
Phone
(859) 516-2360
Fax
(859) 587-9710
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X KY-ABALBA00216062 KY Primary

Addresses

Primary practice location

151 Prosperous PL
Suite 1B
Lexington, KY 40509-2180

Mailing address

PO Box 1673
Danville, KY 40423-1673
Phone (859) 516-2360

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
KY-ABALBA00216062KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Behavior Solutions, 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.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1760880587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1673",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404231673",
            "telephone_number": "859-516-2360",
            "fax_number": "859-587-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PROSPEROUS PL",
            "address_2": "SUITE 1B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092180",
            "telephone_number": "859-516-2360",
            "fax_number": "859-587-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "KATHRIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "KY-ABALBA00216062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.