Individual provider Active NPI

Julie Aryn Tewell, M.ED, BCBA, LBA

  • Behavior Analyst
  • Louisville, KY
National Provider Identifier
1811452980
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
272717 Issued in KY
Practice address
907 Lyndon LN
Louisville, KY 40222-3815
Phone
(502) 777-2397
Fax
(502) 808-6024
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3538 TX
Behavior Analyst 103K00000X 272717 KY Primary

Addresses

Primary practice location

907 Lyndon LN
Louisville, KY 40222-3815

Mailing address

2100 Liberty Rd
Lexington, KY 40509-4319
Phone (502) 777-2397

Other practice location 1

6435 W Highway 146
Crestwood, KY 40014-9575
Phone (502) 709-5240

Other practice location 2

2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone (817) 442-9022

Other practice location 3

4235 Cedar Springs Rd
Dallas, TX 75219-2691
Phone (469) 906-6372

Other identifiers 1

IdentifierTypeStateIssuer
KY-7100771270MedicaidKY

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 Education

State licenses

LicenseStateTypeSpecialty
272717KYMDBehavioral Analyst
3538TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Cone Therapies 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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1811452980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LIBERTY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094319",
            "telephone_number": "502-777-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 LYNDON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223815",
            "telephone_number": "502-777-2397",
            "fax_number": "502-808-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6435 W Highway 146",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "400149575",
            "country_code": "US",
            "telephone_number": "502-709-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2104 Greenbriar Dr",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760928355",
            "country_code": "US",
            "telephone_number": "817-442-9022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Cedar Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752192691",
            "country_code": "US",
            "telephone_number": "469-906-6372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEWELL",
        "first_name": "JULIE",
        "middle_name": "ARYN",
        "credential": "M.ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3538",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "272717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KY-7100771270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.