Wellformed AI

NPI 1639477623 · live from the CMS NPI Registry

Lloyd Robert Buckner, MS, BCBA

Behavior Analyst in Louisville, KY. National Provider Identifier 1639477623, active.

NPI record

NPI1639477623 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location7022 Little Oak Ct, Louisville, KY 40291
Practice phone502-714-8300
Mailing address3001 Northland Rd, Apt 76, Mount Dora, FL 32757
EnumeratedMarch 1, 2011
Last updatedApril 24, 2017
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.