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Benjamin Phillip Davis

Behavior Analyst β€’ Berea, KY

Active NPI 1356789531 Individual Practitioner Male Practitioner
Practice location in NPPES

1126 Breezy Ln
Berea, KY 404038659

Call 6068751420 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1126 Breezy Ln

Berea, KY 404038659

Telephone 6068751420
Organization at the Same NPPES Address or Phone
B Squared Behavior Analysis, Llc Facility NPI 1083265763

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Somerset, KY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berea and Kentucky

2 active clinicians are listed under Behavior Analyst with a practice address in Berea, KY (782 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES KY 251789

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Kentucky Applied Behavior Analyst Licensing Board
251789 (KY)

Secondary Practice Locations

1366 Dahl Vanhook Rd

Somerset, KY 425035319

Phone: 6068751420

1126 Breezy Ln

Berea, KY 404038659

Phone: 6068751420

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 06, 2019

Registered at 1126 BREEZY LN, BEREA, KY 404038659 (Tel: 6068751420)

πŸ“
Updated Business Mailing Address July 06, 2019

Registered at 1126 BREEZY LN, BEREA, KY 404038659 (Tel: 6068751420)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2019

Behavior Analyst (license number reported to NPPES: KY 251789)

βœ…
NPI Profile Active June 21, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2016

Registered at 1366 DAHL VANHOOK RD, SOMERSET, KY 425035319 (Tel: 6068751420)

πŸ“
Business Mailing Address (Initial Record) June 21, 2016

Registered at 1366 DAHL VANHOOK RD, SOMERSET, KY 425035319

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2016

Recorded as BENJAMIN DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2016

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration June 10, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356789531
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2013
Last Update: July 06, 2019
Sole Proprietor: Yes

Mailing Address

1126 Breezy Ln

Berea, KY 404038659

Phone: 6068751420

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.