Kenneth David Culbertson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-79013 Issued in TN

Practice address

2409 Georgetown Rd NW
Cleveland, TN 37311-3553

Phone

(423) 464-6020

NPI assigned

Jan 7, 2019

Last updated

May 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zoe Center for ABA and Development Services, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1518469220
  NPD (past)

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1841763422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOWER MILL CREEK RD",
            "city": "ROCKY FACE",
            "state": "GA",
            "postal_code": "307403202",
            "telephone_number": "618-309-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 GEORGETOWN RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113553",
            "telephone_number": "423-464-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-73414",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-25-79013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Helton Crook, PA-C
• Crystal M Crumley, M.S.
• Timothy Keith Crumpler, MD
• Crystal Clear Hearing and Audiology, LLC (Hearing Solutions Hamilton Hearing)
• Andrew Cudd, LMFT
• Rachel Lee Culp, BEHAVIOR TECHNICIAN
• Custom Healthcare, LLC (PPS Orthotic & Prosthetic Services)
• Rene Nadine Czerkasij, OTR/L
• Cassie Lee Dahlin, PA-C
• Aubrey Daigle

• Behavior Analyst in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.