CHELSEY TAYLOR GEORGOULIS (NPI# 1336587781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336587781 |
| Entity Type | Individual |
| Full Name | CHELSEY TAYLOR GEORGOULIS |
| Credential | MA, BCBA, LBA |
| Practice Address |
5215 Commerce Crossings Dr Louisville KY 40229-2183 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 5022517002 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 172399 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBA CERTIFICATE | 1-14-16217 | 01 |
| Street Address |
5215 COMMERCE CROSSINGS DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40229-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261598 | Faith Noel White | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-02 |
| 1588261523 | Andrew Dominick Golden | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-02 |
| 1023615259 | Stephanie Maria Bolin | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-01 |
| 1477150605 | Brittany Michelle Reid | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-01 |
| 1215544481 | Kylie Rae Dombrosky | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-09-30 |
| 1508471103 | Isabelle Makayla Perricone | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-09-10 |
| 1124633045 | Brittany Lee Ansell | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-09-09 |
| 1366051674 | Samantha Lynn Sayers | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-07-23 |
| 1497371587 | Roni Danyel Pollard | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-06-24 |
| 1356972418 | Jasmine Payne | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1649472655 | Janice K Jones | Physical Therapy Assistant | 5111 Commerce Crossing Suite 100, Louisville, KY 40229 | 2007-06-01 |
| 1528102183 | R Douglas Edwards Jr. | Dentist | 3807 Freedom Way, Louisville, KY 40229 | 2007-02-16 |
| 1407833940 | Robert D Bretz | Radiology | 879 Old Preston Highway North, Louisville, KY 40229 | 2005-12-27 |
| 1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
| 1134664949 | Jessica Ann Mattingly | Nurse Practitioner | 170 Dr Arla Way, Louisville, KY 40229 | 2017-01-03 |
| 1356727929 | Meredith Kyle-alvey Luckett | Physical Therapist | 170 Dr Arla Way, Louisville, KY 40229 | 2015-08-06 |
| 1861688459 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9500 Preston Hwy, Louisville, KY 40229-1166 | 2007-09-18 |
| 1063835296 | Brittany Ward | Pharmacist | 9500 Preston Hwy, Louisville, KY 40229-1199 | 2014-01-23 |
| 1861640914 | Welcome Home Healthcare Solutions, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10113 Glen Rose Ct, Louisville, KY 40229-1246 | 2008-09-03 |
| Find all providers in zip 40229 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315897 | Ashley Wagner | Behavioral Analyst | 9905 Timberview Way, Louisville, KY 40223-3559 | 2020-10-29 |
| 1962009910 | Peta Lorraine St Clair Kimber | Behavioral Analyst | 1230 Liberty Bank Ln Ste 230, Louisville, KY 40222-5756 | 2020-10-02 |
| 1386254571 | Kari Marie Woods | Behavioral Analyst | 1230 Liberty Bank Ln, Louisville, KY 40222-5756 | 2020-08-03 |
| 1861970527 | Courtney Taylor Mcintyre | Behavioral Analyst | 9900 Shelbyville Rd Ste 11b, Louisville, KY 40223-2965 | 2018-08-03 |
| 1043702905 | Stacey Renee Shinn | Behavioral Analyst | 3322 Noe Way Apt 1, Louisville, KY 40220-1861 | 2018-06-05 |
| 1740792746 | Paola Romero | Behavioral Analyst | 912 Lily Creek Rd Ste 103, Louisville, KY 40243-2815 | 2017-10-30 |
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1750802161 | Enrich Educational & Behavioral Services | Behavioral Analyst | 1709 Bonnycastle Ave, Louisville, KY 40205-1014 | 2017-07-06 |
| 1508316860 | Ashley Shaw | Behavioral Analyst | 1448 Gardiner Ln Ste 202, Louisville, KY 40213-1982 | 2016-10-11 |
| 1821543141 | Clinical Behavior Analysis | Behavioral Analyst | 1601 Rosewood Ave, Louisville, KY 40204-1327 | 2016-08-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40229 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.