NPI 1124633045 · live from the CMS NPI Registry
Brittany Lee Ansell, MS
Behavior Analyst in Masonic Home, KY. National Provider Identifier 1124633045, active.
NPI record
| NPI | 1124633045 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3761 Johnson Hall Dr, Masonic Home, KY 40041 |
| Practice phone | 502-633-1007 |
| Mailing address | 90 Howard Dr, Shelbyville, KY 40065 |
| Enumerated | September 9, 2020 |
| Last updated | December 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-105637 (KY) |
| Behavior Analyst primary | 103K00000X | 295929 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.