Jason Neel Simmons, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-02-0855 Issued in TX

Practice address

800 W Woodlawn Ave
Louisville, KY 40215-2472

Phone

(502) 409-7181

Fax

(888) 450-0935

NPI assigned

Dec 2, 2009

Last updated

Oct 28, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Behavior Analysts of Texas, LLC

  dba Cba

  • Behavior Analyst
  • Louisville, KY
  • NPI 1922336924
  NPD (past) Authorized official
• Clinical Behavior Analysis, LLC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1841360583
  Authorized official Same address or phone
• Clinical Behavior Analysis

  • Behavior Analyst
  • Louisville, KY
  • NPI 1821543141
  NPD (past)

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1922336916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROSEWOOD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041327",
            "telephone_number": "210-865-7734",
            "fax_number": "888-450-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JASON",
        "middle_name": "NEEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-02-0855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100337780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel McDonald Simkoff, APRN
• Juli Stover Simler, RPH
• Rebecca Marie Simmel, APRN
• Debra Simmons, ARNP
• Elaine Simmons, BS PSYCHOLOGY
• Kenya Simmons
• Kristen Miyo Simmons
• Lauren Simmons
• Leeanna Simmons
• Lillian Simmons, DPT

• 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 28, 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.