BETHANY JEWEL MILBURN (NPI# 1750929782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750929782 |
| Entity Type | Individual |
| Full Name | BETHANY JEWEL MILBURN |
| Credential | RBT |
| 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 | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-93995 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RBT CERTIFICATE | RBT-19-93995 | 01 |
| Street Address |
5215 COMMERCE CROSSINGS DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40229-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336587781 | Chelsey Taylor Georgoulis | Behavioral Analyst | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2013-06-07 |
| 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 |
| 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 | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504063 | Alyssa Jones | Behavior Technician | 2831 S Hurstbourne Pkwy Ste A, Louisville, KY 40220-4112 | 2020-07-02 |
| 1255958013 | Lauren Ashley Jenkins-payne | Behavior Technician | 279 S Taft Ct # 10east, Louisville, CO 80027-9515 | 2020-06-28 |
| 1285269043 | Davon Dejoun Adams | Behavior Technician | 3712 Georgetown Cir Apt 3, Louisville, KY 40215-1635 | 2020-03-11 |
| 1114557006 | Rachael Bland | Behavior Technician | 215 S Hurstbourne Pkwy Ste 150, Louisville, KY 40222-4937 | 2020-01-21 |
| 1467019679 | Pratique Gupta | Behavior Technician | 1169 Eastern Pkwy # G111, Louisville, KY 40217-1417 | 2019-05-22 |
| 1598228991 | Chelcie Payne | Behavior Technician | 1169 Eastern Pkwy Ste 1800, Louisville, KY 40217-1417 | 2019-04-11 |
| 1871067652 | Marvea Johnson | Behavior Technician | 5305 Craigs Creek Dr, Louisville, KY 40241-4842 | 2019-01-15 |
| 1831683283 | Tierra Brown | Behavior Technician | 1169 Eastern Pkwy Ste 11111169, Louisville, KY 40217-1417 | 2018-06-19 |
| 1477058857 | Christopher Matthew Richardson | Behavior Technician | 1169 Eastern Pkwy Ste G1111, Louisville, KY 40217-1462 | 2018-03-27 |
| 1750897898 | David Haydon Newton | Behavior Technician | 5225 Oldshire Rd, Louisville, KY 40229-5218 | 2017-12-27 |
| 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.