Reenu Elizebath George, M.S, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

166745 Issued in KY

Practice address

9810 Bluegrass Pkwy
Louisville, KY 40299-1906

Phone

(502) 473-7219

NPI assigned

Dec 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1881069722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 WILLOW PARK CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402994688",
            "telephone_number": "502-889-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991906",
            "telephone_number": "502-473-7219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1519 Baxter Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402051008",
            "country_code": "US",
            "telephone_number": "502-409-7181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "REENU",
        "middle_name": "ELIZEBATH",
        "credential": "M.S, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "ABALBA00223117",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "166745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine George, DO
• Katherine H George, M.D.
• Kelly Stilz George, APRN
• Maria George, RBT
• Philomena George
• Renu Bijoy George, APRN
• Salem Michael George Jr., MD
• Sarah E George, APRN
• Aaron D Georgel, P.A.
• Carey Michelle Georgelis, PTA

• Behavior Analyst in Louisville, KY
• Providers in Louisville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.