NPIMap

Organization Active NPI

Clinical Behavior Analysis

  • Behavior Analyst
  • Louisville, KY
National Provider Identifier
1821543141
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
167209 Issued in KY
Legal business name
CLINICAL BEHAVIOR ANALYSIS
Practice address
1601 Rosewood Ave
Louisville, KY 40204-1327
Phone
(502) 409-7181
NPI assigned
Aug 16, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Jill Jones
Title
Quality System Specialist
Phone
(502) 409-7181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 167209 KY Primary

Addresses

Primary practice location

1601 Rosewood Ave
Louisville, KY 40204-1327

Mailing address

800 W Woodlawn Ave
Louisville, KY 40215-2472
Phone (502) 409-7181

Other identifiers 1

IdentifierTypeStateIssuer
7100343010MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Behavior Analysts of Texas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 W Woodlawn Ave
Louisville, KY 40215
Phone (502) 409-7181

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1821543141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152472",
            "telephone_number": "502-409-7181",
            "fax_number": "888-450-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ROSEWOOD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041327",
            "telephone_number": "502-409-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "QUALITY SYSTEM SPECIALIST",
        "authorized_official_telephone_number": "502-409-7181"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "167209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100343010",
            "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 Aug 16, 2016; 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.