Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306594916 Individual Practitioner Male Practitioner

Jack Michael Evans , MA, BCBA

Behavior Analyst • Louisa, KY

Professional Overview & Biography Verified Profile Summary

Jack Evans, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in Louisa, KY. Practice services are available at 125 S MAIN CROSS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 S Main Cross St

Louisa, KY 412301065

Telephone 6066380938
Associated Practice Facility / Clinic
🏢 Odyssey Inc Facility NPI 1669754248

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Louisa, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Louisa, KY (784 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License KY 276596

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License None 1-20-41236

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

1181 Highway 119 N

Whitesburg, KY 418589473

Phone: 8599831548

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lois Hubbard

Case Manager/Care Coordinator

NPI 1003034950
Charlotte Williamson , LPCA

Counselor - Professional

NPI 1003165119
John Riley , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1003240953

Certified Alcohol and Drug Counselor

Richard Skeens

Peer Specialist

NPI 1003469321
Keith Jones

Peer Specialist

NPI 1003523994
Bobby Hill , PSS

Peer Specialist

NPI 1003547258

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address March 05, 2024

Registered at 321 E TIVERTON WAY, LEXINGTON, KY 405171529 (Tel: 8599831548)

📍
Updated Practice Location September 15, 2023

Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066380938)

📍
Updated Business Mailing Address September 15, 2023

Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066380938)

📍
Updated Practice Location March 18, 2022

Registered at 1181 HIGHWAY 119 N, WHITESBURG, KY 418589473 (Tel: 8599831548)

NPI Profile Active March 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2022

Registered at 321 E TIVERTON WAY, LEXINGTON, KY 405171529 (Tel: 8599831548)

📍
Updated Business Mailing Address March 13, 2022

Registered at 321 E TIVERTON WAY, LEXINGTON, KY 405171529 (Tel: 8599831548)

👤
Provider Name / Credentials Updated March 13, 2022

Recorded as JACK EVANS, MA, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2022

Behavior Analyst (License #1-20-41236 in None)

🟢
Initial NPI Registration & Enumeration March 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306594916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2022
Last Update: March 05, 2024
Sole Proprietor: Yes

Mailing Address

321 E Tiverton Way

Lexington, KY 405171529

Phone: 8599831548

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.