Organization Active NPI

Bluegrass Behavior Solutions, LLC

  • Behavior Analyst
  • Lexington, KY
National Provider Identifier
1922499201
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
KY-0002 Issued in KY
Legal business name
BLUEGRASS BEHAVIOR SOLUTIONS, LLC
Practice address
151 Prosperous PL
Suite 1B
Lexington, KY 40509-2180
Phone
(859) 516-2360
Fax
(859) 587-9710
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Edward D Parker, PHD, BCBA-D
Title
Ceo
Phone
(859) 516-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X KY-0002 KY Primary

Addresses

Primary practice location

151 Prosperous PL
Suite 1B
Lexington, KY 40509-2180

Mailing address

PO Box 1673
Danville, KY 40423-1673

Other names 1

  • Bluegrass Community Supports Doing business as

National Provider Directory

National Provider Directory

Locations

151 Prosperous Pl
Ste 1B
Lexington, KY 40509
Phone (859) 338-9516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1922499201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1673",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404231673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PROSPEROUS PL",
            "address_2": "SUITE 1B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092180",
            "telephone_number": "859-516-2360",
            "fax_number": "859-587-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS BEHAVIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-516-2360",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "KY-0002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Community Supports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.