NPI 1598403206 · live from the CMS NPI Registry
Jordan Brovelli
Behavior Analyst in Nicholasville, KY. National Provider Identifier 1598403206, active.
NPI record
| NPI | 1598403206 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 799 E Brannon Rd, Nicholasville, KY 40356 |
| Practice phone | 859-224-2273 |
| Mailing address | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356 |
| Enumerated | May 23, 2022 |
| Last updated | May 23, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 276986 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.