Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700279601 Individual Practitioner Male Practitioner

Jeffrey Tyler Bolin , MS, BCBA, LBA

Behavior Analyst • Louisville, KY

Professional Overview & Biography Verified Profile Summary

Jeffrey Bolin, MS, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Louisville, KY. Practice services are available at 7902 BEULAH CHURCH RD UNIT 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7902 Beulah Church Rd Unit 103

Louisville, KY 402282709

Telephone 0237883115

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Louisville, KY

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

Practicing in Louisville, 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: 2025-07-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License KY 163604

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Kentucky Lba
163604 (KY)
Commercial Insurance / Payer ID Bcba Certificate
1-15-18435 (KY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1235968579

Master of Education, Board Certified Behavior Analyst, Licensed Behavior Analyst

Career & Practice History Timeline

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

23 Historical Events
📍
Updated Practice Location July 02, 2025

Registered at 7902 BEULAH CHURCH RD UNIT 103, LOUISVILLE, KY 402282709 (Tel: 0237883115)

📍
Updated Practice Location January 07, 2025

Registered at 2916 PEACH BLOSSOM DR STE 104, JEFFERSONVILLE, IN 471308380 (Tel: 8122026144)

📍
Updated Business Mailing Address January 07, 2025

Registered at 1074 MEADE SPRINGS RD, BRANDENBURG, KY 401088376

📍
Updated Practice Location October 28, 2022

Registered at 2614 CHARLESTOWN RD, NEW ALBANY, IN 471502529 (Tel: 9302042414)

📍
Updated Business Mailing Address October 28, 2022

Registered at 2785 CASON ST # 2, LAFAYETTE, IN 479042843 (Tel: 7654464185)

📍
Updated Practice Location September 30, 2020

Registered at 635 S MAIN ST STE B, LEITCHFIELD, KY 427541056 (Tel: 2702870656)

📍
Updated Business Mailing Address September 30, 2020

Registered at 635 S MAIN ST STE B, LEITCHFIELD, KY 427541056 (Tel: 2702870656)

📍
Updated Practice Location October 04, 2019

Registered at 2427 RUSSELLVILLE RD, BOWLING GREEN, KY 421013980 (Tel: 2709367472)

📍
Updated Business Mailing Address October 04, 2019

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated October 04, 2019

Recorded as JEFFREY BOLIN, MS, BCBA, LBA

NPI Profile Active November 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2017

Registered at 1609 N DIXIE AVE STE 114, ELIZABETHTOWN, KY 427017494 (Tel: 2708274652)

📍
Updated Business Mailing Address November 02, 2017

Registered at 181 W PROFESSIONAL PARK CT STE 1, BOWLING GREEN, KY 421043250 (Tel: 2707779283)

👤
Provider Name / Credentials Updated November 02, 2017

Recorded as JEFFREY BOLIN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2017

Behavior Analyst (License #163604 in KY)

📍
Updated Practice Location April 30, 2017

Registered at 90 HOWARD DR, SHELBYVILLE, KY 400658138 (Tel: 5026331007)

📍
Updated Business Mailing Address April 30, 2017

Registered at 90 HOWARD DR, SHELBYVILLE, KY 400658138 (Tel: 5026331007)

NPI Profile Active June 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2016

Registered at 9810 BLUEGRASS PKWY, LOUISVILLE, KY 402991906 (Tel: 5024737219)

📍
Updated Business Mailing Address June 08, 2016

Registered at 1870 MEADE SPRINGS RD, BRANDENBURG, KY 401088316 (Tel: 2709802066)

👤
Provider Name / Credentials Updated June 08, 2016

Recorded as JEFFREY BOLIN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2016

Behavior Analyst (License #163604 in KY)

🟢
Initial NPI Registration & Enumeration March 17, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700279601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2015
Last Update: July 02, 2025
Sole Proprietor: Yes

Mailing Address

1074 Meade Springs Rd

Brandenburg, KY 401088376

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.