East Kentucky ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EAST KENTUCKY ABA

Practice address

260 Homestead Estates LN
Tutor Key, KY 41263-8748

Phone

(606) 792-1123

NPI assigned

Apr 18, 2025

Last updated

Apr 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shana Kellie GreenNPI 1811843410

Title

Co-Owner

Phone

(606) 792-1123

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shana Green

  • Behavior Analyst
  • Tutor Key, KY
  • NPI 1811843410
  NPD Authorized official

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1942096524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HOMESTEAD ESTATES LN",
            "city": "TUTOR KEY",
            "state": "KY",
            "postal_code": "412638748",
            "telephone_number": "606-792-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOMESTEAD ESTATES LN",
            "city": "TUTOR KEY",
            "state": "KY",
            "postal_code": "412638748",
            "telephone_number": "606-792-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KENTUCKY ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "KELLIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "606-792-1123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa D. Adkins, LPCC
• Samantha Garrett, APRN, NP-C
• Shana Green
• Loretta Wiley, DI

• Behavior Analyst in Tutor Key, KY
• Providers in Tutor Key, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.