Active NPI
Memory Malumba
- Behavior Technician
- Louisville, KY
National Provider Identifier
1922886522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-241601
- Practice address
- 1800 Neville Dr
Louisville, KY 40216-3820 - Phone
- (502) 203-1396
- NPI assigned
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-241601 | IN | Primary |
Addresses
Primary practice location
1800 Neville Dr
Louisville, KY 40216-3820
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Other practice location 1
355 Quartermaster Ct
Jeffersonville, IN 47130-3670
Phone (812) 258-9802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-241601 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1922886522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NEVILLE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402163820",
"telephone_number": "502-203-1396"
}
],
"practiceLocations": [
{
"address_1": "355 Quartermaster Ct",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471303670",
"country_code": "US",
"telephone_number": "812-258-9802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALUMBA",
"first_name": "MEMORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-22-241601",
"primary": true
}
],
"identifiers": [],
"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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.