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Dr. Erick Mark Dubuque , BCBA-D

Behavior Analyst β€’ Louisville, KY

Active NPI 1699073353 Individual Practitioner Male Practitioner
Practice location in NPPES

1405 E Burnett Ave
Louisville, KY 402171577

Call 5025880724 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

1405 E Burnett Ave

Louisville, KY 402171577

Telephone 5025880724
Fax 5025880721
Organization at the Same NPPES Address or Phone
Bluegrass Center For Autism Facility NPI 1528981800

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

NPI first issued

2011

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 Louisville and Kentucky

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Louisville

0% of these 231 clinicians have the CMS telehealth indicator.

0% of these 231 clinicians are listed by CMS as accepting Medicare assignment.

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 None BCBA# 1-08-4322

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Danielle Lunsford , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1376197103

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active January 13, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 13, 2018

Registered at 1405 E BURNETT AVE, LOUISVILLE, KY 402171577 (Tel: 5025880724)

πŸ“
Updated Business Mailing Address January 13, 2018

Registered at 145 CORAL AVE, LOUISVILLE, KY 402062017 (Tel: 7752256980)

πŸ‘€
Provider Name / Credentials Updated January 13, 2018

Recorded as ERICK DUBUQUE, BCBA-D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2018

Behavior Analyst (license number reported to NPPES: None BCBA# 1-08-4322)

βœ…
NPI Profile Active March 04, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 04, 2011

Registered at 1010 GRANDVIEW AVE, RENO, NV 895032625 (Tel: 7754486533)

πŸ“
Business Mailing Address (Initial Record) March 04, 2011

Registered at 1010 GRANDVIEW AVE, RENO, NV 895032625 (Tel: 7754486533)

πŸ‘€
Provider Name / Credentials (Initial Record) March 04, 2011

Recorded as ERICK DUBUQUE, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2011

Behavior Analyst (license number reported to NPPES: None BCBA# 1-08-4322)

🟒
Initial NPI Registration & Enumeration March 04, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699073353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2011
Last Update: January 13, 2018
Sole Proprietor: No

Mailing Address

145 Coral Ave

Louisville, KY 402062017

Phone: 7752256980

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.