Active NPI
Monica Burton, BCBA, LBA
- Behavior Analyst
- Somerset, KY
National Provider Identifier
1992264584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 240776
- Practice address
- 67 Jacks LN
Somerset, KY 42501-6152 - Phone
- (606) 425-4371
- Fax
- (606) 699-1669
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 240776 | KY | Primary |
Addresses
Primary practice location
67 Jacks LN
Somerset, KY 42501-6152
Mailing address
38 Mitchell LN
Somerset, KY 42503-6395
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-29702 | Other | BACB | |
| 14609077 | Other | CAQH | |
| 240776 | Other | KY | COMMONWEALTH OF KENTUCKY |
| 7100590440 | Medicaid | KY |
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 |
|---|---|---|---|
| 240776 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Pediatric Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
| Lake Cumberland Pediatric Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
| Gracie Behavior Associates, LLC | Behavior Analyst | Past | Accepting new patients |
Locations
67 Jacks Ln
Somerset, KY 42501
Phone (606) 425-4371
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1811503337
Behavior Analyst
-
- Physical Therapist
- Somerset, KY
- NPI 1962058669
Behavior Analyst
-
- Behavior Analyst
- Columbia, KY
- NPI 1356004881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1992264584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 MITCHELL LN",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425036395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 JACKS LN",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425016152",
"telephone_number": "606-425-4371",
"fax_number": "606-699-1669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "MONICA",
"name_prefix": "Mrs.",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "240776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-18-29702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14609077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF KENTUCKY",
"identifier": "240776",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100590440",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.