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Lori Phan , MA, BCBA, LBA

Behavior Analyst β€’ Louisville, KY

Active NPI 1568668077 Individual Practitioner Female Practitioner
Practice location in NPPES

11110 Sewell Dr
Louisville, KY 402914124

Call 5026558105 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

11110 Sewell Dr

Louisville, KY 402914124

Telephone 5026558105
Organization at the Same NPPES Address or Phone
Therapeutic Alliance Of Louisville Llc Facility NPI 1710533773

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

NPI first issued

2007

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Addresses are self-reported to NPPES and may be out of date.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 KY 100299

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

Medicaid ID
7100325870 (KY)

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2019

Behavior Analyst (license number reported to NPPES: KY 100299)

βœ…
NPI Profile Active December 03, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 03, 2014

Registered at 11110 SEWELL DR, LOUISVILLE, KY 402914124 (Tel: 5026558105)

πŸ“
Business Mailing Address (Initial Record) December 03, 2014

Registered at 11110 SEWELL DR, LOUISVILLE, KY 402914124 (Tel: 5026558105)

πŸ‘€
Provider Name / Credentials (Initial Record) December 03, 2014

Recorded as LORI PHAN, M.A., B.C.B.A., LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2014

Psychologist

🟒
Initial NPI Registration & Enumeration June 22, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568668077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2007
Last Update: August 15, 2019
Sole Proprietor: Yes

Mailing Address

11110 Sewell Dr

Louisville, KY 402914124

Phone: 5026558105

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.