BLUEGRASS CENTER FOR AUTISM
NPI 1184423808
Behavior Technician in Louisville, KY

NPI Status: Active since March 13, 2025

Contact Information

9300 CEDAR CENTER WAY STE 200
LOUISVILLE, KY
ZIP 40291
Phone: (502) 473-7219
Fax: (502) 709-9892

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  • Organization
  • Behavior Technician
  • CLIA Number: 18D0954168
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 11-18-2026

About BLUEGRASS CENTER FOR AUTISM

This page provides the complete NPI Profile along with additional information for Bluegrass Center For Autism, a provider established in Louisville, Kentucky operating as a Behavior Technician. The healthcare provider is registered in the NPI registry with number 1184423808 assigned on March 2025. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Bluegrass Center For Autism operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer L Wilt (Director)

NPI
1184423808
Provider Name
BLUEGRASS CENTER FOR AUTISM
Entity Type
Organization
Location Address
9300 CEDAR CENTER WAY STE 200 LOUISVILLE, KY 40291
Location Phone
(502) 473-7219
Location Fax
(502) 709-9892
Mailing Address
9300 CEDAR CENTER WAY STE 200 LOUISVILLE, KY 40291
Mailing Phone
(502) 473-7219
Mailing Fax
(502) 709-9892
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-13-2025
Last Update Date
03-13-2025
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Location Map

Secondary Locations

  • 1405 E Burnett Ave
    Louisville, KY 40217
    (502) 473-7219

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER L WILT

Authorized Official Title
DIRECTOR
Authorized Official Phone
(502) 443-3836

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100700160MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0954168
Facility Type
Other
Certificate Effective Date
November 19, 2024
Certificate Expiration Date
November 18, 2026
Laboratory Director
DR. THOMAS W. BENNINGER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Bluegrass Center For Autism in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184423808, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 8 + 2 + 6 + 8 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1184423808.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184423808, enumerated as an "organization" on March 13, 2025.

The provider is located at 9300 CEDAR CENTER WAY STE 200 LOUISVILLE, KY 40291 and the phone number is (502) 473-7219.

Behavior Technician with taxonomy code 106S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.