NPI 1487873535 · live from the CMS NPI Registry
Jodi Lynn Bauer, LPP,LBA, BCBA
Behavior Analyst in Madisonville, KY. National Provider Identifier 1487873535, active.
NPI record
| NPI | 1487873535 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2325 Ridgewood Dr, Madisonville, KY 42431 |
| Practice phone | 270-339-0127 |
| Enumerated | April 25, 2007 |
| Last updated | December 4, 2014 |
| Sole proprietor | Yes |
| Other names | Jodi Martin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 0048 (KY) |
| Psychologist | 103T00000X | 0108 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.