Active NPI
Rachel Jayne Reynolds, MA, BCBA, LBA
- Behavior Analyst
- Pikeville, KY
National Provider Identifier
1770058018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 243432
- Practice address
- 131 Summit Dr FL 3
Pikeville, KY 41501-1580 - Phone
- (606) 218-2256
- Fax
- (606) 218-6577
- NPI assigned
- Oct 12, 2018
- 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 | 243432 | KY | Primary |
Addresses
Primary practice location
131 Summit Dr FL 3
Pikeville, KY 41501-1580
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 218-2256
Other practice location 1
1300 East New Circle Road
Suite 150
Lexington, KY 40505-9001
Phone (859) 795-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-29633 | Other | BCBA CERTIFICATE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rreynolds21994@PIKEVILLEKYDIRECT.ORG | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243432 | KY | MD | Behavioral Analyst |
Interoperability endpoints
- rreynolds21994@pikevillekydirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1770058018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415020432",
"telephone_number": "606-218-2256",
"fax_number": "606-218-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SUMMIT DR FL 3",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011580",
"telephone_number": "606-218-2256",
"fax_number": "606-218-6577"
}
],
"practiceLocations": [
{
"address_1": "1300 East New Circle Road",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405059001",
"country_code": "US",
"telephone_number": "859-795-3000",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "RACHEL",
"middle_name": "JAYNE",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "243432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-18-29633",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rreynolds21994@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard direct functionality",
"address_1": "131 Summit Dr Fl 3",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011580",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.