NPI 1063383859 · live from the CMS NPI Registry
Shelby Burkhead
Behavior Analyst in Taylor Mill, KY. National Provider Identifier 1063383859, active.
NPI record
| NPI | 1063383859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5522 Taylor Mill Rd, Taylor Mill, KY 41015 |
| Practice phone | 859-303-9891 |
| Mailing address | 327 Bonnie Leslie Ave, Bellevue, KY 41073 |
| Enumerated | September 15, 2025 |
| Last updated | September 15, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.