PREMIER AUTISM SERVICES (NPI# 1346848314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346848314 |
| Entity Type | Organization |
| Organization Name | PREMIER AUTISM SERVICES |
| Practice Address |
312 S 4th St Ste 700 Louisville KY 40202-3046 |
| Mailing Address |
211 Boulevard of Americas Ste 402 Lakewood NJ 08701-4778 |
| Practice Telephone | 5023055730 |
| Practice Fax Number | 5023055740 |
| Mailing Telephone | 5023055730 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | JASON HERSKO (OWNER) |
| Authorized Official Telephone | 5023055730 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
312 S 4TH ST STE 700 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487753158 | Brittainy Shaw | Psychologist | 312 S 4th St Ste 700, Louisville, KY 40202-3046 | 2006-09-21 |
| 1194326033 | Kentucky Orthopedic Network | Durable Medical Equipment & Medical Supplies | 312 S 4th St Ste 700, Louisville, KY 40202-3046 | 2020-11-06 |
| 1417503426 | Kendrick Home Care LLC | In Home Supportive Care | 312 S 4th St Ste 700, Louisville, KY 40202-3046 | 2019-08-15 |
| 1851832968 | Jessica Buroker | Nurse Practitioner | 312 S 4th St Ste 700, Louisville, KY 40202 | 2017-03-09 |
| 1578993804 | Matrix Medical Network of Kentucky LLC | Nurse Practitioner | 312 S 4th St Ste 700, Louisville, KY 40202-3046 | 2013-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 | 40202 |
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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.