NPI 1720739600 · live from the CMS NPI Registry
Matthew George Barnes, BCBA
Behavior Analyst in Edgewood, KY. National Provider Identifier 1720739600, active.
NPI record
| NPI | 1720739600 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 25 Beech Dr, Edgewood, KY 41017 |
| Practice phone | 502-689-8147 |
| Enumerated | January 12, 2022 |
| Last updated | March 28, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 00981 (OH) |
| Behavior Analyst primary | 103K00000X | 268643 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.