Nicholas Carr Walton, MED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

282168 Issued in KY

Practice address

175 Market Place Dr Ste a
Louisville, KY 40229-4471

Phone

(502) 251-7002

Fax

(317) 520-8200

NPI assigned

Jul 6, 2018

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

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adaptive Community Support Services Inc

  • Developmentally Disabled Services Day Training Agency
  • New Albany, IN
  • NPI 1770970576

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1962998591",
    "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",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET PLACE DR STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402294471",
            "telephone_number": "502-251-7002",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "NICHOLAS",
        "middle_name": "CARR",
        "credential": "MED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "282168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-19-35683",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlee McKynna Walton
• Daymond Cortes Walton, LPCC
• Donna S Walton, RN
• Elizabeth Walton
• Gregory Walton, MD
• Paige M Walton, APRN
• Stephanie Prater Walton, M.D.
• Katie Elizabeth Waltrip, DNP
• Kimberly Jean Waltrip, L.C.S.W.
• Jeffrey L Wampler, MD

• 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 Dec 2, 2022; 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.